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General NPI Number Information
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NPI Number | 1114004645
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Entity Type | Individual
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Provider Name | JAMES COROMILAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 125 PATERSON ST SUITE #6100
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901
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Country | US
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Telephone | 732-235-7856
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Fax | 732-249-1208
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Provider Business Mailing Address
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Address Line | P.O. BOX 1075 579A CRANBURY RD. UNIVERSITY RADIOLOG GROUP, PC
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-390-0040
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Fax | 732-390-1856
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 130192
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA08519800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 25MA08519800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 130192
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08519800
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License Number State | NJ
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