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General NPI Number Information
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NPI Number | 1386552206
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Entity Type | Individual
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Provider Name | BRIELLE CATHERINE TOMASSETTI PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 216 PALMER ST STE 1A
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City | ELIZABETH
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State | NJ
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Zip | 07202-5900
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Country | US
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Telephone | 973-596-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 11 CEDAR RIDGE RD APT SUITE
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City | GREEN BROOK
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State | NJ
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Zip | 08812-2030
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Country | US
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Telephone | 908-300-7500
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 25MP01049800
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License Number State | NJ
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