Basic Information
| Provider Information | |||||||||
| NPI: | 1306891759 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARBER | ||||||||
| FirstName: | AARON | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 307 S EVERGREEN AVE | ||||||||
| Address2: | |||||||||
| City: | WOODBURY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080962739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8566864300 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 TOWNSEND AVE | ||||||||
| Address2: | |||||||||
| City: | BERLIN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080099011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563223260 | ||||||||
| FaxNumber: | 8563223061 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2006 | ||||||||
| LastUpdateDate: | 07/10/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MA71912 | NJ | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8483701 | 05 | NJ | MEDICAID | 223586506006 | 01 | NJ | CHAMPUS-TRICARE | OTHER |