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General NPI Number Information
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NPI Number | 1376537787
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Entity Type | Organization
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Legal Business Name | CENTRAL MONTGOMERY SURGICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1057 S BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-5338
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Country | US
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Telephone | 215-361-5834
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Fax | 215-412-4809
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Provider Business Mailing Address
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Address Line | PO BOX 822162
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City | PHILADELPHIA
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State | PA
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Zip | 19182-2162
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Country | US
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Telephone | 866-412-3191
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Fax |
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Authorized Official
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Title or Position | LEAD PHYSICIAN
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Name | MARC ALPERT
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Credential | MD
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Telephone | 215-361-5834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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