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General NPI Number Information
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NPI Number | 1659715258
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Entity Type | Organization
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Legal Business Name | PREMIER FAMILY MEDICINE, P.A.
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 4 WALTER E FORAN BLVD STE 101
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4665
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Country | US
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Telephone | 908-824-7179
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Fax | 908-824-7684
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Provider Business Mailing Address
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Address Line | 4 WALTER E FORAN BLVD STE 101
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4665
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Country | US
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Telephone | 908-824-7179
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Fax | 908-824-7684
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONATHAN E WIERZBICKI
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Credential | M.D.
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Telephone | 908-824-7179
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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 |
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License Number State |
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