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General NPI Number Information
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NPI Number | 1134526148
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Entity Type | Organization
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Legal Business Name | MEDICAL OFFICES OF NEW JERSEY SHORE, LLC
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 1959 RTE 34 STE 202
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-9790
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Country | US
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Telephone | 732-943-1811
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Fax | 732-259-8060
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Provider Business Mailing Address
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Address Line | 1959 RTE 34 STE 202
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-9790
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Country | US
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Telephone | 732-943-1811
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Fax | 732-259-8060
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Authorized Official
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Title or Position | CHAIRMAN & CEO
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Name | JOHN J RUSH
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Credential | MD
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Telephone | 301-928-1697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | DR0018703
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License Number State | CO
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