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General NPI Number Information
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NPI Number | 1528043692
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Entity Type | Organization
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Legal Business Name | SELECT ANESTHESIA AND PAIN MANAGEMENT GROUP, PA
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 97 W PARKWAY
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1647
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Country | US
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Telephone | 973-831-5093
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416521
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City | BOSTON
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State | MA
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Zip | 02241-6521
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Country | US
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Telephone | 201-804-2800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GILBERT L DROZDOW
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Credential | MD
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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