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General NPI Number Information
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NPI Number | 1326357765
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Entity Type | Organization
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Legal Business Name | IRVIN GOLDFARB, MD, PA
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 306 MARTIN LUTHER KING BLVD 4TH FLOOR
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City | NEWARK
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State | NJ
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Zip | 07102
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Country | US
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Telephone | 973-877-5171
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Fax |
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Provider Business Mailing Address
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Address Line | 35 SPEIR DRIVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-1023
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Country | US
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Telephone | 973-877-5171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IRVIN GOLDFARB
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Credential | M.D.
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Telephone | 973-877-5170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MA02924400
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License Number State | NJ
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