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General NPI Number Information
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NPI Number | 1326086331
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Entity Type | Organization
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Legal Business Name | PISCATAWAY SOMERSET OB GYN GROUP
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 31 STELTON RD SUITE 4
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City | PISCATAWAY
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State | NJ
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Zip | 08854-2665
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Country | US
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Telephone | 732-752-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 31 STELTON RD SUITE 4
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City | PISCATAWAY
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State | NJ
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Zip | 08854-2665
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Country | US
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Telephone | 732-752-7755
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ADITYA N CHOUBEY
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Credential |
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Telephone | 732-214-8741
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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 |
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License Number State |
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