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General NPI Number Information
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NPI Number | 1053600247
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY SPECIALIST OF NEW JERSEY P C
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Dates
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Enumeration Date | 03/29/2011
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 75 N MAPLE AVE SUITE 100
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3247
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Country | US
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Telephone | 201-664-8000
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Fax | 908-953-0550
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Provider Business Mailing Address
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Address Line | 75 N MAPLE AVE SUITE 100
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3247
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Country | US
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Telephone | 201-664-8000
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Fax | 908-953-0550
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK JAMES FERRARO JR.
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Credential | M.D.
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Telephone | 201-294-2908
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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 | 25MA05457100
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License Number State | NJ
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