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General NPI Number Information
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NPI Number | 1609169796
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Entity Type | Organization
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Legal Business Name | BAYFRONT URGENT CARE PA
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 2605 SHORE RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-2136
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Country | US
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Telephone | 609-365-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 1 E NEW YORK AVE
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2340
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Country | US
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Telephone | 609-653-3519
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Fax | 609-653-3247
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ULICES PEREZ FELIZ
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Credential | MD
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Telephone | 609-965-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 1609427
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License Number State | NJ
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