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NPI 1518462480

NPI 1518462480 : MATTHEW ORWITZ : MARLTON, NJ

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General NPI Number Information
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    NPI Number           |    1518462480
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW ORWITZ
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/24/2018
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    Last Update Date     |    11/02/2025
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Provider Practice Location Address
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    Address Line         |    1001 RT. 73 NORTH, UPPER & MAIN LEVEL 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053
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    Country              |    US
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    Telephone            |    856-988-3444
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    Fax                  |    856-988-0553
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Provider Business Mailing Address
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    Address Line         |    301 LIPPINCOTT DR STE 410 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053-4197
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    Country              |    US
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    Telephone            |    856-988-3444
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    Fax                  |    856-988-0553
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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        |    2084N0600X
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    Taxonomy Name        |    Clinical Neurophysiology Physician
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    License Number       |    25MA11737700
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    25MA11737700
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    License Number State |    NJ
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