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General NPI Number Information
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NPI Number | 1235420696
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY NEWBORN CARE
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 43 RED FOX CT
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City | SKILLMAN
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State | NJ
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Zip | 08558-1722
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Country | US
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Telephone | 908-829-3465
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Fax | 908-359-4036
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Provider Business Mailing Address
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Address Line | PO BOX 74
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City | SKILLMAN
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State | NJ
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Zip | 08558-0074
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Country | US
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Telephone | 908-829-3465
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Fax | 908-359-4036
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. ANTHONY JOSEPH MARINO JR.
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Credential | MD
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Telephone | 908-829-3465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MA50514
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MA50514
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License Number State | NJ
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