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General NPI Number Information
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NPI Number | 1184202822
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Entity Type | Organization
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Legal Business Name | COLUMBIA DOCTORS OF NEW JERSEY, P. C.
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 500 GRAND AVE
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4967
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Country | US
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Telephone | 212-305-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 400 KELBY ST STE 8
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City | FORT LEE
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State | NJ
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Zip | 07024-2938
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Country | US
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Telephone | 212-346-7102
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG SMITH
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Credential | MD
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Telephone | 212-304-7102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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