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General NPI Number Information
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NPI Number | 1760591341
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Entity Type | Organization
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Legal Business Name | MEDICUS MEDICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 561 CRANBURY RD SUITE M
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5400
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Country | US
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Telephone | 173-265-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 561 CRANBURY RD SUITE M
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5400
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Country | US
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Telephone |
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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. SELMA AKYAR
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Credential | MD
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Telephone | 17326513133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA07436000
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License Number State | NJ
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