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General NPI Number Information
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NPI Number | 1588693451
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Entity Type | Organization
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Legal Business Name | HILLSBOROUGH WOMEN'S HEALTH
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3461 US HIGHWAY 22
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City | BRANCHBURG
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State | NJ
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Zip | 08876-6021
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Country | US
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Telephone | 908-707-1117
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Fax | 908-707-4448
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Provider Business Mailing Address
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Address Line | 3461 US HIGHWAY 22
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City | BRANCHBURG
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State | NJ
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Zip | 08876-6021
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Country | US
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Telephone | 908-707-1117
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Fax | 908-707-4448
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARCEL M. FAVETTA
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Credential | M.D.
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Telephone | 908-707-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA58968
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License Number State | NJ
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