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General NPI Number Information
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NPI Number | 1477482495
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Entity Type | Organization
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Legal Business Name | COUNSEL MEDICAL GROUP OF NEW JERSEY
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 54 W 21ST ST STE 701
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City | NEW YORK
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State | NY
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Zip | 10010-6908
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Country | US
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Telephone | 201-448-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 56 BROAD ST STE 66232
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City | BOSTON
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State | MA
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Zip | 02109-4301
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Country | US
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Telephone | 201-448-7980
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RISHI KHAKHKHAR
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Credential | MD
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Telephone | 708-289-5273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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