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General NPI Number Information
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NPI Number | 1720415706
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Entity Type | Organization
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Legal Business Name | LINDEN MEDICAL ASSOCIATES MD PC
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 331 CHESTNUT ST
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-1948
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Country | US
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Telephone | 908-245-9444
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Fax | 908-245-8826
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Provider Business Mailing Address
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Address Line | 331 CHESTNUT ST
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-1948
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Country | US
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Telephone | 908-245-9444
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Fax | 908-245-8826
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUHEE GUPTA
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Credential | MD
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Telephone | 908-245-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22293
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA06083100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA06083100
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License Number State | NJ
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