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NPI 1487653770

NPI 1487653770 : JOEL NAMM MD : HAMILTON, NJ

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General NPI Number Information
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    NPI Number           |    1487653770
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL NAMM MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/19/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1255 WHITEHORSE MERCERVILLE RD SUITE 514
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    City                 |    HAMILTON
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    State                |    NJ
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    Zip                  |    08619-3800
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    Country              |    US
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    Telephone            |    609-585-8800
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    Fax                  |    609-585-1825
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Provider Business Mailing Address
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    Address Line         |    3625 QUAKERBRIDGE RD 
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    City                 |    HAMILTON
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    State                |    NJ
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    Zip                  |    08619-1207
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    Country              |    US
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    Telephone            |    609-689-1600
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    Fax                  |    609-689-1200
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085B0100X
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    Taxonomy Name        |    Body Imaging Physician
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    License Number       |    MA02456600
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    License Number State |    NJ
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