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General NPI Number Information
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NPI Number | 1427098763
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Entity Type | Organization
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Legal Business Name | ELIZABETH EMERGENCY PHYSICIANS, L.L.C.
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 225 WILLIAMSON STREET
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City | ELIZABETH
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State | NJ
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Zip | 07207-3600
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Country | US
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Telephone | 908-257-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 66 W GILBERT ST 2ND FLOOR
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4918
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Country | US
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Telephone | 732-212-0051
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Fax | 732-212-0713
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. PAUL T JORDAN
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Credential | MD
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Telephone | 908-994-5263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State | NJ
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