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NPI 1093219024

NPI 1093219024 : PHILIP ANTHONY FEMANO III DO : HAMILTON, NJ

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General NPI Number Information
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    NPI Number           |    1093219024
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    Entity Type          |    Individual 
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    Provider Name        |    PHILIP ANTHONY FEMANO III DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/23/2018
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    Last Update Date     |    02/11/2025
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Provider Practice Location Address
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    Address Line         |    2501 KUSER RD STE 3 
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    City                 |    HAMILTON
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    State                |    NJ
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    Zip                  |    08691-3386
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    Country              |    US
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    Telephone            |    609-896-0444
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    Fax                  |    609-587-4349
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Provider Business Mailing Address
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    Address Line         |    90 MATAWAN RD STE 302 
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    City                 |    MATAWAN
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    State                |    NJ
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    Zip                  |    07747-2653
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    Country              |    US
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    Telephone            |    732-441-7177
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    Fax                  |    732-441-7165
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    OS024125
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207XS0106X
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    Taxonomy Name        |    Orthopaedic Hand Surgery Physician
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    License Number       |    25MB12359600
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    25MB12359600
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    License Number State |    NJ
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