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General NPI Number Information
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NPI Number | 1184827412
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR SURGICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 33 NORTHVIEW AVE
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City | MONTCLAIR
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State | NJ
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Zip | 07043-1802
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Country | US
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Telephone | 973-214-6966
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 BECK LANE
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City | REYNOLDSVILLE
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State | PA
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Zip | 15851-5806
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Country | US
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Telephone | 973-214-6966
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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. RAJ RAMANUJ KAUSHIK
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Credential | M.D.
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Telephone | 973-214-2595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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