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General NPI Number Information
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NPI Number | 1063626695
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROBERT MACALUSO M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 501 S 54TH ST
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City | PHILADELPHIA
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State | PA
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Zip | 19143-1900
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Country | US
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Telephone | 215-748-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 12 GILL ST STE 3000
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City | WOBURN
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State | MA
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Zip | 01801-1728
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Country | US
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Telephone | 781-937-4545
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Fax | 781-937-4510
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 277349
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD430801
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License Number State | PA
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