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General NPI Number Information
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NPI Number | 1699761015
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Entity Type | Organization
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Legal Business Name | HARVEY G MASOR MD PA
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 739 CHANCELLOR AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-2953
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Country | US
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Telephone | 973-371-5959
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Fax | 973-371-0171
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Provider Business Mailing Address
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Address Line | 739 CHANCELLOR AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-2953
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Country | US
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Telephone | 973-371-5959
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Fax |
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Authorized Official
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Title or Position | MD
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Name | HARVEY G MASOR
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Credential | MD
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Telephone | 973-371-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA02102900
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License Number State | NJ
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