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General NPI Number Information
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NPI Number | 1174564421
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Entity Type | Organization
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Legal Business Name | ENGLEWOOD MEDICAL ASSOCIATES INC
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 350 ENGLE ST ENGLEWOOD HOSPITAL & MEDICAL CENTER
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1808
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Country | US
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Telephone | 201-984-3000
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Fax | 610-617-6280
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Provider Business Mailing Address
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Address Line | PO BOX 48310 EMERGENCY PHYSICIANS OF EMA INC
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City | NEWARK
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State | NJ
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Zip | 07101-4810
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Country | US
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Telephone | 800-666-2455
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Fax | 610-617-6280
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL D PIETROWICZ
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Credential |
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Telephone | 201-894-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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