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General NPI Number Information
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NPI Number | 1720300726
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Entity Type | Organization
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Legal Business Name | MACULA & RETINA , P.C.
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 276 ORIENTAL PL
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City | LYNDHURST
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State | NJ
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Zip | 07071-1700
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Country | US
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Telephone | 201-546-9355
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Fax | 201-299-7772
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Provider Business Mailing Address
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Address Line | 276 ORIENTAL PL SUITE A
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City | LYNDHURST
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State | NJ
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Zip | 07071-1700
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Country | US
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Telephone | 201-546-9355
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Fax | 201-299-7772
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ANDREW FRANCIS BURROWS
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Credential | MD
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Telephone | 216-536-9236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA08298900
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License Number State | NJ
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