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General NPI Number Information
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NPI Number | 1487845301
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Entity Type | Organization
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Legal Business Name | UMDNJ-SOM
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR SUITE 162
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City | STRATFORD
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State | NJ
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Zip | 08084-1500
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Country | US
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Telephone | 856-566-6835
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | STRATFORD
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State | NJ
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Zip | 08084-1500
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Country | US
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Telephone | 856-566-6835
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Fax |
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Authorized Official
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Title or Position | SURGICAL RESIDENT
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Name | DR. CHRISTOPHER MICHAEL BARIANA
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Credential | D.O.
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Telephone | 856-566-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | SURGERY RESIDENT
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License Number State | NJ
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