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General NPI Number Information
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NPI Number | 1114145935
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY ENDOCRINE ASSOC LLC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 02/03/2024
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Provider Practice Location Address
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Address Line | 720 US HIGHWAY 202/206 STE 1B
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1746
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Country | US
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Telephone | 908-385-1946
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Fax | 908-231-1321
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Provider Business Mailing Address
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Address Line | 720 US HIGHWAY 202/206 STE 1B
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1746
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Country | US
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Telephone | 908-385-1946
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Fax | 908-231-1324
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Authorized Official
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Title or Position | MD
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Name | LEON H SHULMAN
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Credential | MD
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Telephone | 908-231-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 55313,56079,33417
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License Number State | NJ
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