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General NPI Number Information
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NPI Number | 1497873541
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Entity Type | Organization
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Legal Business Name | MERCER BUCKS PULMONARY CRITICAL CARE SLEEP MEDICINE P.A.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 416 BELLEVUE AVE SUITE 405
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City | TRENTON
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State | NJ
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Zip | 08618-4513
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Country | US
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Telephone | 609-394-2900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3166
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City | MERCERVILLE
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State | NJ
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Zip | 08619-0166
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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 | PRESIDENT
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Name | DR. MANISH GUGNANI
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Credential | MD
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Telephone | 609-394-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25MA07222900
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License Number State | NJ
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