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General NPI Number Information
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NPI Number | 1225109846
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Entity Type | Organization
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Legal Business Name | ROBERT WOOD JOHNSON MEDICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 337 APPLEGARTH RD
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-3721
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Country | US
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Telephone | 609-655-2411
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Fax | 609-655-2410
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Provider Business Mailing Address
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Address Line | 2090 STATE ROUTE 27 PINES PLAZA
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City | EDISON
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State | NJ
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Zip | 08817-3372
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Country | US
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Telephone | 732-287-6663
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Fax | 732-287-6664
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Authorized Official
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Title or Position | DELEGATED OFFICIAL
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Name | RURIC ANDERSON
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Credential | M.D.
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Telephone | 732-212-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA04896400
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License Number State | NJ
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