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General NPI Number Information
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NPI Number | 1750472171
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Entity Type | Organization
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Legal Business Name | RONALD MINZTER, MD PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 495 IRON BRIDGE RD SUITE 2
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City | FREEHOLD
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State | NJ
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Zip | 07728-3069
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Country | US
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Telephone | 732-577-5558
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Fax | 732-577-5559
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Provider Business Mailing Address
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Address Line | 495 IRON BRIDGE RD SUITE 2
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City | FREEHOLD
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State | NJ
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Zip | 07728-3069
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Country | US
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Telephone | 732-577-5558
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Fax | 732-577-5559
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. TERRI YANKOSKI
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Credential |
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Telephone | 732-577-5558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA055860300
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License Number State | NJ
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