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General NPI Number Information
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NPI Number | 1174578017
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Entity Type | Individual
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Provider Name | JOSEPH P MAUGERI M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 150 LAKESIDE BLVD 2ND FL, STE 2
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City | LANDING
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State | NJ
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Zip | 07850
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Country | US
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Telephone | 973-398-0661
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Fax |
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Provider Business Mailing Address
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Address Line | 402 LIPPINCOTT DR
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City | MARLTON
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State | NJ
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Zip | 08053-4112
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Country | US
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Telephone | 856-782-3300
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Fax | 856-504-8029
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25MA05912400
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License Number State | NJ
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