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General NPI Number Information
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NPI Number | 1639303159
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Entity Type | Organization
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Legal Business Name | IPC HOSPITALIST PHYSICIANS OF NEW JERSEY PC
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 95 MOUNT KEMBLE AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-5155
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Country | US
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Telephone | 305-377-2909
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Fax | 865-560-7089
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Provider Business Mailing Address
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Address Line | 1643 NW 136TH AVE STE 100
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City | SUNRISE
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State | FL
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Zip | 33323-2857
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Country | US
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Telephone | 800-424-3672
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. DAVID J ISTVAN
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Credential | M.D.
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Telephone | 818-766-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NJ
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Taxonomy #2
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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 | NJ
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