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General NPI Number Information
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NPI Number | 1750420964
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Entity Type | Organization
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Legal Business Name | GIRGIS FAMILY PRACTICE
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 305 JEFFERSON AVE
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City | MILFORD
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State | DE
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Zip | 19963-1800
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Country | US
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Telephone | 732-254-9494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6779
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-6779
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Country | US
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Telephone | 732-254-9494
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MORIS BEACHAY GIRGIS
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Credential | MD
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Telephone | 732-254-9494
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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 |
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License Number State |
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