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General NPI Number Information
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NPI Number | 1265761183
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Entity Type | Organization
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Legal Business Name | S.M. GROVER, MDPA
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Dates
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Enumeration Date | 12/24/2009
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Last Update Date | 12/24/2009
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Provider Practice Location Address
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Address Line | 979 US HIGHWAY 9
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-3302
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Country | US
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Telephone | 732-721-7700
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Fax | 732-721-2300
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Provider Business Mailing Address
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Address Line | 979 HIGHWAY 9
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-3302
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Country | US
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Telephone | 732-721-7700
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Fax | 732-721-2300
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SURENDER M GROVER
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Credential | M.D.
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Telephone | 732-721-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA02616000
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License Number State | NJ
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