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General NPI Number Information
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NPI Number | 1275354334
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Entity Type | Organization
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Legal Business Name | BIOLUMINUX CLINICAL RESEARCH NEW JERSEY
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 2131 ROUTE 33 STE B
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City | TRENTON
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State | NJ
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Zip | 08690-1740
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Country | US
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Telephone | 708-435-1404
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 ROUTE 33 STE B
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City | TRENTON
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State | NJ
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Zip | 08690-1740
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Country | US
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Telephone | 708-435-1404
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | DR. MATTHEW OYEYEMI ADASOFUNJO
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Credential | MD
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Telephone | 708-435-1404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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