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General NPI Number Information
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NPI Number | 1184448730
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Entity Type | Organization
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Legal Business Name | CHILDREN'S SURGICAL ASSOCIATES OF NEW JERSEY INC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 101 PLAINSBORO RD
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1978
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Country | US
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Telephone | 609-520-1717
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Fax | 267-425-9550
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Provider Business Mailing Address
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Address Line | 3401 CIVIC CENTER BLVD
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City | PHILADELPHIA
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State | PA
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Zip | 19104-4319
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Country | US
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Telephone | 215-590-1000
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Fax |
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Authorized Official
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Title or Position | VICE CHAIR ADMINISTRATOR
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Name | LINDA C FLOCCO
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Credential |
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Telephone | 215-590-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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