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General NPI Number Information
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NPI Number | 1366975971
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Entity Type | Organization
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Legal Business Name | ROLAND L BELLUSCIO, MD LLC
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 280 HIGHWAY 35 STE 101
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City | RED BANK
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State | NJ
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Zip | 07701-5900
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Country | US
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Telephone | 732-268-8608
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Fax | 732-268-7862
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Provider Business Mailing Address
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Address Line | 280 HIGHWAY 35 STE 101
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City | RED BANK
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State | NJ
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Zip | 07701-5900
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Country | US
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Telephone | 732-868-8608
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Fax |
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Authorized Official
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Title or Position | MANAGER/MEMBER
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Name | ROLAND L BELLUSCIO
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Credential | MD
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Telephone | 732-268-8608
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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 |
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License Number State |
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