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General NPI Number Information
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NPI Number | 1548310774
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Entity Type | Organization
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Legal Business Name | THE DR MARTIN JAY KESSLER MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 234 W LANDIS AVE SUITE 100
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City | VINELAND
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State | NJ
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Zip | 08360-8109
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Country | US
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Telephone | 856-696-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 234 W LANDIS AVE SUITE 100
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City | VINELAND
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State | NJ
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Zip | 08360-8109
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Country | US
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Telephone | 856-696-0669
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Fax |
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. MARTIN JAY KESSLER
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Credential | MD
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Telephone | 856-696-0669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA06177300
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License Number State | NJ
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