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General NPI Number Information
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NPI Number | 1760601033
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Entity Type | Organization
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Legal Business Name | MORRISTOWN PEDIATRIC ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 261 JAMES ST SUITE 1G
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6392
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Country | US
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Telephone | 973-540-9393
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Fax | 973-540-1937
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Provider Business Mailing Address
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Address Line | 261 JAMES ST SUITE 1G
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6392
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Country | US
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Telephone | 973-540-9393
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Fax | 973-540-1937
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MARTIN LEWIS COHEN
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Credential | MD
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Telephone | 73-540-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | NJ
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