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General NPI Number Information
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NPI Number | 1659466266
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Entity Type | Individual
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Provider Name | ALEXANDER WOLFSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 253 WITHERSPOON ST
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City | PRINCETON
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State | NJ
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Zip | 08540-3211
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Country | US
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Telephone | 609-497-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 56 WESTBURY CT
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City | SKILLMAN
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State | NJ
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Zip | 08558-1726
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Country | US
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Telephone | 917-447-0568
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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 | 229420
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D63717
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA08370700
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License Number State | NJ
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