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General NPI Number Information
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NPI Number | 1700254414
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Entity Type | Organization
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Legal Business Name | SECAUCUS PHYSICIAN ASSOCIATES
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 55 MEADOWLANDS PKWY
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City | SECAUCUS
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State | NJ
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Zip | 07094
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Country | US
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Telephone | 201-392-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 66 W GILBERT ST 2ND FLOOR
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4947
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Country | US
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Telephone | 732-212-0051
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Fax | 732-212-0713
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH CALABRO
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Credential | DO
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Telephone | 732-212-0060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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