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General NPI Number Information
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NPI Number | 1053334276
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Entity Type | Organization
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Legal Business Name | HUNTERDON CARDIOVASCULAR ASSOCIATES
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1738 STATE ROUTE 31 STE 110
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City | CLINTON
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State | NJ
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Zip | 08809-2014
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Country | US
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Telephone | 908-788-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 WESCOTT DRIVE SUITE G-3
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City | FLEMINGTON
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State | NJ
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Zip | 08822
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Country | US
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Telephone | 908-788-6471
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Fax | 908-788-6460
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GLEN ERIK TONNESSEN
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Credential | M.D.
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Telephone | 908-788-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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