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General NPI Number Information
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NPI Number | 1447622402
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Entity Type | Organization
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Legal Business Name | URGENT CARE PHYSICIANS OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 10/29/2015
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 46 NEWMAN SPRINGS RD E STE F
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City | RED BANK
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State | NJ
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Zip | 07701-1531
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Country | US
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Telephone | 973-630-8947
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Fax | 973-630-8947
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Provider Business Mailing Address
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Address Line | 46 NEWMAN SPRINGS RD E STE F
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City | RED BANK
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State | NJ
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Zip | 07701-1531
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Country | US
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Telephone | 973-630-8947
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MARK WACIEGA
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Credential | M.D.
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Telephone | 973-630-8947
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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 | 25MA07201000
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License Number State | NJ
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