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General NPI Number Information
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NPI Number | 1700158623
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Entity Type | Organization
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Legal Business Name | MARC S ENGELBERT MD PLLC
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 1165 PARK AVENUE 1A
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City | NEW YORK
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State | NY
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Zip | 10128-1210
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Country | US
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Telephone | 212-348-4100
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Fax | 212-987-7543
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Provider Business Mailing Address
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Address Line | 1165 PARK AVENUE 1A
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City | NEW YORK
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State | NY
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Zip | 10128-1210
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Country | US
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Telephone | 212-348-4100
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Fax | 212-987-7543
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MARC S ENGELBERT
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Credential | MD
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Telephone | 212-348-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 154792
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License Number State | NY
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