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General NPI Number Information
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NPI Number | 1114927159
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Entity Type | Individual
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Provider Name | HOWARD BRESALIER D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 239 HURFFVILLE CROSSKEYS RD STE 265
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City | SEWELL
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State | NJ
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Zip | 08080-4008
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Country | US
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Telephone | 856-576-5745
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Fax | 856-519-5410
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Provider Business Mailing Address
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Address Line | 660 WHITE PLAINS RD FL 4
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City | TARRYTOWN
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State | NY
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Zip | 10591-5187
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Country | US
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Telephone | 914-333-5801
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Fax |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 25MB06552400
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License Number State | NJ
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