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General NPI Number Information
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NPI Number | 1487135448
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Entity Type | Organization
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Legal Business Name | A2Z DIAGNOSTICS LLC
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 6 INDUSTRIAL WAY W STE F19
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-542-3200
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Fax | 732-542-3203
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Provider Business Mailing Address
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Address Line | 6 INDUSTRIAL WAY W STE F19
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City | EATONTOWN
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State | NJ
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Zip | 07724-2268
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Country | US
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Telephone | 732-674-6874
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL AQUINO
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Credential | MD
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Telephone | 732-674-6874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZM0300X
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Taxonomy Name | Medical Microbiology 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 | 207ZP0007X
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Taxonomy Name | Molecular Genetic Pathology (Pathology) 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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology 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 | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine 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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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