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General NPI Number Information
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NPI Number | 1629086061
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Entity Type | Individual
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Provider Name | LISA ANN CORTESE MD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 601 HAMILTON AVE
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City | TRENTON
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State | NJ
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Zip | 08629-1915
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Country | US
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Telephone | 609-599-5097
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Fax | 609-599-6312
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Provider Business Mailing Address
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Address Line | PO BOX 18736
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City | NEWARK
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State | NJ
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Zip | 07191-8736
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Country | US
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Telephone | 800-426-1699
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA07041500
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License Number State | NJ
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