Provider Demographics
NPI:1699899914
Name:EMPEDRAD, ALBERT B (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:B
Last Name:EMPEDRAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 SARA DR
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-2541
Mailing Address - Country:US
Mailing Address - Phone:609-915-8781
Mailing Address - Fax:
Practice Address - Street 1:2139 ROUTE 33 STE 2
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1751
Practice Address - Country:US
Practice Address - Phone:609-915-8781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428428207RE0101X
NJ25MA08660000207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0225541Medicaid
PA761521OtherHIGHMARK
NJ0225541Medicaid
NJ176805VEWMedicare PIN