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NPI 1164649307

NPI 1164649307 : EVAN STEINBERG, MD, FCCP, P.A. : WESTWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1164649307
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVAN STEINBERG, MD, FCCP, P.A. 
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Dates
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    Enumeration Date     |    04/19/2007
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    Last Update Date     |    06/03/2008
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Provider Practice Location Address
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    Address Line         |    333 OLD HOOK RD STE 105 
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    City                 |    WESTWOOD
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    State                |    NJ
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    Zip                  |    07675-3200
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    Country              |    US
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    Telephone            |    201-358-9365
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    Fax                  |    201-358-9367
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Provider Business Mailing Address
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    Address Line         |    333 OLD HOOK RD STE 105 
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    City                 |    WESTWOOD
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    State                |    NJ
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    Zip                  |    07675-3200
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    Country              |    US
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    Telephone            |    201-358-9365
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    Fax                  |    201-358-9367
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     EVAN  STEINBERG 
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    Credential           |    MD
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    Telephone            |    201-358-9365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    MA064993
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    207RC0200X
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    Taxonomy Name        |    Critical Care Medicine (Internal Medicine) Physician
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    License Number       |    MA064993
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MA064993
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    License Number State |    NJ
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