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General NPI Number Information
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NPI Number | 1265593065
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Entity Type | Organization
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Legal Business Name | SUBURBAN NEUROLOGY PC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 111 EAST NORTHFIELD ROAD
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City | LIVINGSTON
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State | NJ
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Zip | 07039
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Country | US
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Telephone | 973-992-9819
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Fax | 973-535-9819
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Provider Business Mailing Address
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Address Line | 111 E NORTHFIELD RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4504
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Country | US
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Telephone | 973-992-9819
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Fax | 888-285-2924
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANCHUN ZHANG
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Credential |
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Telephone | 973-992-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MA065380
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License Number State | NJ
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