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General NPI Number Information
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NPI Number | 1255652376
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Entity Type | Organization
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Legal Business Name | STUART A SACKSTEIN M.D.P.A.
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 707 WHITE HORSE PIKE SUITE A-4
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City | ABSECON
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State | NJ
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Zip | 08201-1458
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Country | US
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Telephone | 609-641-7727
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Fax | 609-641-7769
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Provider Business Mailing Address
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Address Line | 707 WHITE HORSE PIKE SUITE A-4
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City | ABSECON
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State | NJ
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Zip | 08201-1458
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Country | US
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Telephone | 609-641-7727
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Fax | 609-641-7769
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STUART A SACKSTEIN
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Credential | M.D.
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Telephone | 609-641-7727
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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 | MA42256
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License Number State | NJ
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