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General NPI Number Information
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NPI Number | 1639479397
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Entity Type | Organization
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Legal Business Name | EDDIE M GAMAO, MD PA
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Dates
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Enumeration Date | 10/28/2010
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Last Update Date | 10/28/2010
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Provider Practice Location Address
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Address Line | 1032 STELTON RD
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4316
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Country | US
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Telephone | 732-981-9336
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Fax | 732-981-9339
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Provider Business Mailing Address
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Address Line | 1032 STELTON RD
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City | PISCATAWAY
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State | NJ
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Zip | 08854-4316
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Country | US
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Telephone | 732-981-9336
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Fax | 732-981-9339
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDDIE M GAMAO
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Credential | M.D.
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Telephone | 732-981-9336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA27432
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License Number State | NJ
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