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General NPI Number Information
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NPI Number | 1093996548
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Entity Type | Organization
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Legal Business Name | ROBINSON-GALLARO GASTROENTEROLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 668 N BEERS ST SUITE 202
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City | HOLMDEL
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State | NJ
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Zip | 07733-1526
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Country | US
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Telephone | 732-364-8370
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Fax | 732-264-8397
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Provider Business Mailing Address
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Address Line | 668 N BEERS ST SUITE 202
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City | HOLMDEL
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State | NJ
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Zip | 07733-1526
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Country | US
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Telephone | 732-364-8370
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Fax | 732-264-8397
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Authorized Official
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Title or Position | VP, OPERATIONS
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Name | MR. AVIN JOSHI
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Credential |
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Telephone | 518-283-5418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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