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General NPI Number Information
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NPI Number | 1366526279
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Entity Type | Organization
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Legal Business Name | UNIVERSITY RADIOLOGY AT TRINITAS, LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 415 MORRIS AVENUE
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City | ELIZABETH
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State | NJ
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Zip | 07208
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Country | US
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Telephone | 908-351-7600
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Fax | 908-351-4406
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Provider Business Mailing Address
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Address Line | 579A CRANDBURY ROAD
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-390-0040
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Fax | 732-955-8874
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. ROBERT E. EPSTEIN
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Credential | MD
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Telephone | 732-390-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 22518
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License Number State | NJ
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