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General NPI Number Information
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NPI Number | 1215951819
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Entity Type | Organization
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Legal Business Name | BRICK WOMEN'S PHYSICIANS
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 1140 BURNT TAVERN RD SUITE 2A
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City | BRICK
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State | NJ
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Zip | 08724-1496
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Country | US
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Telephone | 732-202-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 BURNT TAVERN RD SUITE 2A
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City | BRICK
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State | NJ
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Zip | 08724-1496
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Country | US
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Telephone | 732-202-0700
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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. PAUL L VETTER
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Credential | MD
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Telephone | 732-202-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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