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General NPI Number Information
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NPI Number | 1023117132
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Entity Type | Individual
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Provider Name | MURRAY A WOLKSTEIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 200 S BROAD ST UNIT B
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-5003
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Country | US
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Telephone | 201-445-6622
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Fax | 201-445-0262
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Provider Business Mailing Address
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Address Line | 200 S BROAD ST UNIT B
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-5003
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Country | US
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Telephone | 201-445-6622
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Fax | 201-445-0262
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MA35598
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License Number State | NJ
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