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General NPI Number Information
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NPI Number | 1689790420
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Entity Type | Organization
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Legal Business Name | MORRIS FAMILY MEDICINE ASSOCIATES PA
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 340 SPEEDWELL AVE
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2124
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Country | US
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Telephone | 973-267-9899
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Fax | 973-538-3522
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Provider Business Mailing Address
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Address Line | 340 SPEEDWELL AVE PO BOX 190
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2124
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Country | US
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Telephone | 973-267-9899
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Fax | 973-538-3522
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Authorized Official
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Title or Position | PRES
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Name | DR. CHARLES A JOSEPH
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Credential | MD
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Telephone | 973-267-9899
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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 | 25MA03343100
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License Number State | NJ
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