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General NPI Number Information
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NPI Number | 1689765331
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Entity Type | Individual
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Provider Name | STUART WEG M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 800 2ND AVENUE SUITE 900
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 212-679-9667
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Fax | 212-901-2134
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Provider Business Mailing Address
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Address Line | 498 ISLAND WAY
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City | FRANKLIN LAKES
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State | NJ
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Zip | 07417
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Country | US
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Telephone | 551-427-2398
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Fax | 201-848-1805
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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 | 1402201
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License Number State | NJ
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