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General NPI Number Information
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NPI Number | 1053505313
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Entity Type | Organization
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Legal Business Name | RICHARD MARFUGGI MD LLC
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 10 BROADWAY
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City | DENVILLE
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State | NJ
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Zip | 07834-2704
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Country | US
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Telephone | 973-377-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 248 COLUMBIA TPKE BUILDING 1, SUITE 203
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1210
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Country | US
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Telephone | 973-377-8950
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. RICHARD A MARFUGGI
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Credential | MD
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Telephone | 973-377-8950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MA04227000
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License Number State | NJ
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