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General NPI Number Information
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NPI Number | 1073688453
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Entity Type | Organization
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Legal Business Name | ALLAN BURSTEIN MD PA
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 505 STILLWELLS CORNER RD
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-462-5270
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Fax | 646-672-0446
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Provider Business Mailing Address
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Address Line | 505 STILLWELLS CORNER RD
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City | FREEHOLD
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State | NJ
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Zip | 07728
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Country | US
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Telephone | 732-462-5270
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Fax | 646-672-0446
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Authorized Official
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Title or Position | CHIEF OFFICER PROFESSIONAL CORPORAT
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Name | DR. ALLAN JAY BURSTEIN
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Credential | MD
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Telephone | 732-462-5270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA02855900
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License Number State | NJ
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