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General NPI Number Information
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NPI Number | 1639116551
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Entity Type | Organization
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Legal Business Name | THE DOCTOR'S OFFICE OF MIDDLESEX, P.C.
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 1 WOODBRIDGE CTR SUITE 900
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-1150
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Country | US
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Telephone | 732-634-3069
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Fax | 732-791-2159
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Provider Business Mailing Address
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Address Line | 1 WOODBRIDGE CTR SUITE 900
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City | WOODBRIDGE
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State | NJ
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Zip | 07095-1150
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Country | US
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Telephone | 732-634-3069
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Fax | 732-791-2159
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAUL I BERKLEY
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Credential |
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Telephone | 732-634-3069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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