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General NPI Number Information
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NPI Number | 1346196854
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Entity Type | Organization
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Legal Business Name | EMPALLO MEDICAL GROUP OF NEW JERSEY, PC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 418 BROADWAY STE N
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City | ALBANY
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State | NY
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Zip | 12207-2922
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Country | US
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Telephone | 617-286-6874
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Fax |
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Provider Business Mailing Address
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Address Line | 160 CAMBRIDGEPARK DR UNIT 112
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City | CAMBRIDGE
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State | MA
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Zip | 02140-2452
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Country | US
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Telephone | 617-286-6874
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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. DANA WEISSHAAR
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Credential | MD
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Telephone | 408-459-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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