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General NPI Number Information
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NPI Number | 1326190984
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY COLON AND RECTAL SURGEONS PA
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 704 ROUTE 202 SOUTH
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2552
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Country | US
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Telephone | 908-526-5600
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Fax | 908-526-5569
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Provider Business Mailing Address
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Address Line | 704 ROUTE 202 SOUTH
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2552
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Country | US
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Telephone | 908-526-5600
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Fax | 908-526-5569
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LAURA E SADLER
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Credential |
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Telephone | 908-526-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | MA59163
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License Number State | NJ
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