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NPI 1073601225

NPI 1073601225 : M.A. SARRAF, M.D., P.A. : SOUTH PLAINFIELD, NJ

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General NPI Number Information
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    NPI Number           |    1073601225
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    Entity Type          |    Organization 
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    Legal Business Name  |    M.A. SARRAF, M.D., P.A. 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    10/28/2011
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Provider Practice Location Address
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    Address Line         |    1907 PARK AVE SUITE 202
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    City                 |    SOUTH PLAINFIELD
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    State                |    NJ
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    Zip                  |    07080-5530
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    Country              |    US
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    Telephone            |    908-561-1313
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    Fax                  |    908-561-3917
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Provider Business Mailing Address
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    Address Line         |    1907 PARK AVE SUITE 202
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    City                 |    SOUTH PLAINFIELD
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    State                |    NJ
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    Zip                  |    07080-5530
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    Country              |    US
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    Telephone            |    908-561-1313
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    Fax                  |    908-561-3917
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. MOHAMMAD A SARRAF 
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    Credential           |    MD
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    Telephone            |    908-561-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    
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    License Number State |    NJ
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