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General NPI Number Information
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NPI Number | 1306148226
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER KOLASA MD PA
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 6 AUER CT SUITE C
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5828
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Country | US
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Telephone | 732-254-4200
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Fax | 732-254-4256
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Provider Business Mailing Address
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Address Line | 6 AUER CT SUITE C
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5828
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Country | US
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Telephone | 732-254-4200
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Fax | 732-254-4256
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER KOLASA
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Credential | MD
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Telephone | 732-254-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA05727300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 25MA05727300
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License Number State | NJ
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