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General NPI Number Information
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NPI Number | 1467539338
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Entity Type | Organization
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Legal Business Name | CENTRAL ESSEX MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 UNION AVE SUITE-301
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City | IRVINGTON
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State | NJ
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Zip | 07111-3262
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Country | US
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Telephone | 973-372-0528
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Fax | 973-372-0528
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Provider Business Mailing Address
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Address Line | PO BOX 648
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City | KENILWORTH
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State | NJ
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Zip | 07033-0648
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Country | US
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Telephone | 973-372-0528
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Fax | 973-372-0094
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SURESH G BELANI
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Credential | M.D.
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Telephone | 973-372-0528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA04637100
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License Number State | NJ
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