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General NPI Number Information
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NPI Number | 1508181306
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Entity Type | Individual
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Provider Name | KARL JOSEPH COUTINHO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE STE 295
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 201-201-3456
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Fax | 201-581-1001
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Provider Business Mailing Address
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Address Line | 33 N FULLERTON AVE FL 3
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City | MONTCLAIR
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State | NJ
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Zip | 07042-3644
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Country | US
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Telephone | 201-201-3456
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Fax | 201-581-1001
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 25MA09890500
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License Number State | NJ
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