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General NPI Number Information
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NPI Number | 1588703359
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Entity Type | Organization
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Legal Business Name | ATLANTIC EMERGENCY PHYSICIANS-TEAM PEDIATRIC ASSOCIATES
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 435 HURFFVILLE CROSS KEYS RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2453
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Country | US
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Telephone | 856-582-2816
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Fax |
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Provider Business Mailing Address
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Address Line | 307 S EVERGREEN AVE
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City | WOODBURY
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State | NJ
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Zip | 08096-2739
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Country | US
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Telephone | 856-686-4317
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | STEPHEN J. MURTAUGH
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Credential |
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Telephone | 856-686-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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