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General NPI Number Information
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NPI Number | 1730146846
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Entity Type | Organization
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Legal Business Name | ATLANTIC SHORE ORTHOPAEDIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 611 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1652
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Country | US
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Telephone | 609-645-1500
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Fax | 609-484-9122
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Provider Business Mailing Address
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Address Line | 611 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1652
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Country | US
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Telephone | 609-645-1500
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Fax | 609-484-9122
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. STANLEY C. MARCZYK
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Credential | M.D.
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Telephone | 609-645-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | NJ
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