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General NPI Number Information
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NPI Number | 1598067464
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Entity Type | Organization
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Legal Business Name | AMERICAN SURGICAL ARTS, PC
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 199 MULLICA HILL RD
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2655
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Country | US
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Telephone | 856-362-8898
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Fax | 856-362-8903
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Provider Business Mailing Address
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Address Line | 199 MULLICA HILL RD
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City | MULLICA HILL
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State | NJ
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Zip | 08062-2655
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Country | US
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Telephone | 856-362-8898
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Fax | 856-362-8903
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Authorized Official
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Title or Position | OWNER
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Name | DR. SEAN M. BIDIC
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Credential | MD
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Telephone | 856-362-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 25MA08686600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MA08686600
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License Number State | NJ
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