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General NPI Number Information
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NPI Number | 1104086909
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Entity Type | Organization
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Legal Business Name | NORTH JERSEY PSYCHIATRY ASSOCIATES LLC
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Dates
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Enumeration Date | 06/15/2008
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 2035 HAMBURG TPKE SUITE M
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City | WAYNE
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State | NJ
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Zip | 07470-6251
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Country | US
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Telephone | 973-839-2945
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Fax | 973-839-1244
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Provider Business Mailing Address
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Address Line | 2035 HAMBURG TPKE SUITE M
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City | WAYNE
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State | NJ
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Zip | 07470
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Country | US
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Telephone | 973-839-2945
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Fax | 973-839-1244
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | DR. CECILIA SAIXI WANG
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Credential | M.D., PH.D.
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Telephone | 201-282-7299
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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 | 25MA08184300
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License Number State | NJ
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