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General NPI Number Information
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NPI Number | 1447676630
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY NEUROPHYSIOLOGY LLC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 991 US HIGHWAY 22 STE 200
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2957
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Country | US
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Telephone | 732-595-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 991 US HIGHWAY 22 STE 200
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2957
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Country | US
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Telephone | 732-595-7772
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | WASIF M SHEIKH
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Credential | MD
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Telephone | 708-833-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | NJ1432
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License Number State |
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