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General NPI Number Information
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NPI Number | 1457670739
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Entity Type | Organization
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Legal Business Name | ACCESS MEDICINE NJ
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 228 LAFAYETTE ST FL 5
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-491-5222
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Fax | 973-491-0181
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Provider Business Mailing Address
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Address Line | 228 LAFAYETTE ST FL 5
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City | NEWARK
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State | NJ
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Zip | 07105-1815
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Country | US
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Telephone | 973-491-5222
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Fax | 973-491-0181
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Authorized Official
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Title or Position | OWNER
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Name | UZMA CHATHA
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Credential | M.D
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Telephone | 201-344-7636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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