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General NPI Number Information
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NPI Number | 1497627087
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Entity Type | Organization
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Legal Business Name | HARLEY STREET MEDICAL NEW JERSEY PC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 619 N MAPLE AVE STE 100
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City | HO HO KUS
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State | NJ
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Zip | 07423-1683
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Country | US
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Telephone | 551-284-3844
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Fax |
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Provider Business Mailing Address
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Address Line | 619 N MAPLE AVE STE 100
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City | HO HO KUS
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State | NJ
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Zip | 07423-1683
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DANNY BALL
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Credential |
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Telephone | 212-496-1929
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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 |
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License Number State |
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