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General NPI Number Information
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NPI Number | 1093071276
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Entity Type | Organization
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Legal Business Name | JOSEPH PETER FODERO MD PA
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 83 HANOVER RD STE 200
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1508
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Country | US
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Telephone | 973-295-6565
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Fax | 973-295-6567
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Provider Business Mailing Address
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Address Line | 83 HANOVER RD STE 200
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1508
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Country | US
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Telephone | 973-295-6565
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Fax | 973-295-6567
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Authorized Official
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Title or Position | MANAGER
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Name | DIGNORY SANDOVAL
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Credential |
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Telephone | 973-295-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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