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General NPI Number Information
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NPI Number | 1558462556
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Entity Type | Individual
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Provider Name | ERIC MARK JOSEPH MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 22 OLD SHORT HILLS RD STE 112
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5607
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Country | US
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Telephone | 973-325-1155
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Fax | 973-325-8668
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Provider Business Mailing Address
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Address Line | 22 OLD SHORT HILLS RD STE 112
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5607
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Country | US
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Telephone | 973-325-1155
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Fax | 973-325-8668
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | MA067103
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 2019411
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 25MA06710300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 25MA06710300
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License Number State | NJ
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