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General NPI Number Information
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NPI Number | 1205928041
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Entity Type | Organization
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Legal Business Name | BRUNSWICK CARDIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 1140 SOMERSET ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-3623
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Country | US
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Telephone | 732-246-4699
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Fax | 732-246-4889
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Provider Business Mailing Address
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Address Line | 1140 SOMERSET ST
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-3623
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Country | US
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Telephone | 732-246-4699
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Fax | 732-246-4889
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KAMINI JEGANATHAN
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Credential |
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Telephone | 732-246-4699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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