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General NPI Number Information
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NPI Number | 1689930141
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Entity Type | Individual
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Provider Name | CHARLES MARC EKSTEIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 17-17 ROUTE 208
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City | FAIR LAWN
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State | NJ
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Zip | 07410-2820
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Country | US
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Telephone | 201-345-7557
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Fax | 551-355-5086
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone | 908-273-4300
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 272010
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 272010
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License Number State | NY
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