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General NPI Number Information
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NPI Number | 1336524859
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Entity Type | Individual
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Provider Name | MOTI GULERSEN MD, MSC
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Gender | Male
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Dates
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Enumeration Date | 07/26/2015
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 100 E 77TH ST
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 212-434-2760
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 79TH ST APT. 5U
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City | NEW YORK
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State | NY
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Zip | 10075-0956
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Country | US
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Telephone | 929-429-9680
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 25MA11703200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MD476911
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License Number State | PA
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