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General NPI Number Information
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NPI Number | 1427267517
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Entity Type | Organization
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Legal Business Name | RONALD E BURBELLA MD PC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 2500 BRUNSWICK PIKE SUITE 202
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4134
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Country | US
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Telephone | 609-530-9100
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Fax | 609-530-0743
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Provider Business Mailing Address
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Address Line | 2500 BRUNSWICK PIKE SUITE 202
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4134
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Country | US
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Telephone | 609-530-9100
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Fax | 609-530-0743
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONALD E BURBELLA
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Credential | MD
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Telephone | 609-530-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 25MA03214300
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License Number State | NJ
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