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General NPI Number Information
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NPI Number | 1154355154
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY SURGICAL GRP
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 FULD STREET SUITE 403
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City | TRENTON
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State | NJ
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Zip | 08638
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Country | US
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Telephone | 609-656-8622
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Fax | 609-656-8626
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Provider Business Mailing Address
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Address Line | 40 FULD STREET SUITE 403
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City | TRENTON
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State | NJ
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Zip | 08638
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Country | US
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Telephone | 609-656-8622
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Fax | 609-656-8626
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATRICIA ANNETTE ABUD
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Credential | RN
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Telephone | 609-656-8622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NJ
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