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General NPI Number Information
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NPI Number | 1073699401
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Entity Type | Organization
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Legal Business Name | MARLBORO MEDICAL CENTER LLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | PLAZA 203 RTE 9 S
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City | ENGLISHTOWN
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State | NJ
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Zip | 07726
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Country | US
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Telephone | 723-617-8800
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Fax | 732-617-8800
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Provider Business Mailing Address
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Address Line | PLAZA 203 RTE 9 S
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City | ENGLISHTOWN
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State | NJ
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Zip | 07726
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Country | US
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Telephone | 723-617-8800
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Fax | 732-617-8808
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NARENDRA K GUPTA
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Credential | MD
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Telephone | 732-617-8800
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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 | NA065420
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License Number State | NJ
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