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NPI 1225167851

NPI 1225167851 : PINDER & GOMEZ, M.D., P.A. : WEST ORANGE, NJ

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General NPI Number Information
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    NPI Number           |    1225167851
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    Entity Type          |    Organization 
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    Legal Business Name  |    PINDER & GOMEZ, M.D., P.A. 
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Dates
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    Enumeration Date     |    03/02/2007
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    Last Update Date     |    04/24/2012
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Provider Practice Location Address
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    Address Line         |    99 OLD INDIAN RD 
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    City                 |    WEST ORANGE
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    State                |    NJ
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    Zip                  |    07052-2603
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    Country              |    US
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    Telephone            |    973-731-7441
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    Fax                  |    973-731-8381
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Provider Business Mailing Address
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    Address Line         |    99 OLD INDIAN RD 
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    City                 |    WEST ORANGE
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    State                |    NJ
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    Zip                  |    07052-2603
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    Country              |    US
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    Telephone            |    973-731-7441
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    Fax                  |    973-731-8381
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. GODFREY CHRISTOPHER PINDER 
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    Credential           |    M.D.
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    Telephone            |    973-731-7441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    25MA03388700
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    License Number State |    NJ
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Taxonomy #2
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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       |    25MA03268300
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    License Number State |    NJ
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