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General NPI Number Information
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NPI Number | 1457215337
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Entity Type | Organization
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Legal Business Name | US UROLOGY NEW JERSEY PRACTICE, LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 136 ROUTE 73 SUITE A AND B
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City | VOORHEES
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State | NJ
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Zip | 08043-9598
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Country | US
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Telephone | 901-604-7707
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Fax |
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Provider Business Mailing Address
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Address Line | 136 ROUTE 73 SUITE A AND B
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City | VOORHEES
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State | NJ
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Zip | 08043-9598
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Country | US
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Telephone | 901-604-7707
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | RONALD SANGWON SUH
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Credential | M.D.
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Telephone | 901-604-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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