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General NPI Number Information
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NPI Number | 1730609066
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Entity Type | Organization
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Legal Business Name | EDWARD KUGLER MD LLC
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1135 BROAD STREET #205
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-777-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 BROAD ST STE 205
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City | CLIFTON
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State | NJ
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Zip | 07013-3346
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Country | US
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Telephone | 973-777-1444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD KUGLER
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Credential | MD
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Telephone | 973-777-1444
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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 | 25MA5679100
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License Number State | NJ
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