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General NPI Number Information
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NPI Number | 1073671772
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF UNION, P.C.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 SHAWNEE DR SUITE 3
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City | WATCHUNG
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State | NJ
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Zip | 07069-5803
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Country | US
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Telephone | 908-755-5400
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Fax | 908-755-6979
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Provider Business Mailing Address
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Address Line | 10 SHAWNEE DR SUITE 3
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City | WATCHUNG
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State | NJ
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Zip | 07069-5803
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Country | US
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Telephone | 908-755-5400
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Fax | 908-755-6979
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Authorized Official
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Title or Position | OWNERPHYSICIAN
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Name | DR. PATRICIA LAURA BARSANTI
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Credential | DO
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Telephone | 908-755-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MB07478500
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License Number State | NJ
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