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General NPI Number Information
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NPI Number | 1174609309
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SURGERY CENTER OF NORTHWEST JERSEY, LLC
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 3130 ROUTE 10 WEST
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-328-3475
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Fax | 973-328-3476
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Provider Business Mailing Address
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Address Line | 3130 ROUTE 10 WEST SUITE 200
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-328-3475
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Fax | 973-328-3476
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ABRAHAM ROSENZWEIG
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Credential | MD
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Telephone | 973-328-3475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 22964
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License Number State | NJ
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