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General NPI Number Information
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NPI Number | 1396785812
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Entity Type | Organization
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Legal Business Name | ASSOCIATED PHYSIATRISTS OF SOUTHERN NEW JERSEY PA
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 216 HADDON AVE STE 106
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City | HADDON TOWNSHIP
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State | NJ
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Zip | 08108-2810
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Country | US
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Telephone | 856-833-1790
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Fax | 856-833-1793
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Provider Business Mailing Address
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Address Line | 216 HADDON AVE STE 106
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City | HADDON TOWNSHIP
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State | NJ
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Zip | 08108-2810
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Country | US
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Telephone | 856-833-1790
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Fax | 856-833-1793
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD J GALLAGHER
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Credential | M.D.
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Telephone | 856-833-1790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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