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General NPI Number Information
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NPI Number | 1568750263
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Entity Type | Organization
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Legal Business Name | HASMUKH SUTARIA,M.D. PA
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 07/14/2011
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Provider Practice Location Address
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Address Line | 40 UNION AVE SUITE 206
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City | IRVINGTON
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State | NJ
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Zip | 07111-3277
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Country | US
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Telephone | 973-373-1196
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Fax | 973-373-1197
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Provider Business Mailing Address
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Address Line | 40 UNION AVE SUITE 206
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City | IRVINGTON
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State | NJ
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Zip | 07111-3277
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Country | US
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Telephone | 973-373-1196
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Fax | 973-373-1197
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | HASMUKH SUTARIA
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Credential | M.D.
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Telephone | 908-756-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MA047626
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License Number State | NJ
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