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General NPI Number Information
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NPI Number | 1194832840
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Entity Type | Organization
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Legal Business Name | AFFILIATED MEDICAL ASSOCIATES OF MORRISTOWN, P.A.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 25 LINDSLEY DRIVE SUITE 311
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4456
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Country | US
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Telephone | 973-538-5844
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Fax | 973-267-0181
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Provider Business Mailing Address
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Address Line | 25 LINDSLEY DRIVE SUITE 311
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4456
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Country | US
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Telephone | 973-538-5844
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Fax | 973-267-0181
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Authorized Official
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Title or Position | PRESIDENT, AFFILIATED MEDICAL ASSOC
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Name | MAX G DESHAW
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Credential | M.D.
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Telephone | 973-538-5844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State | NJ
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