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General NPI Number Information
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NPI Number | 1770970428
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Entity Type | Organization
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Legal Business Name | HUDSON-ESSEX ALLERGY LLC
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVE SUITE 102
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-759-5842
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Fax | 973-759-0403
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Provider Business Mailing Address
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Address Line | 5 FRANKLIN AVE
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-759-5842
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Fax | 973-759-0403
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK E WEINSTEIN
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Credential | MD
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Telephone | 973-759-5842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State | NJ
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