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General NPI Number Information
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NPI Number | 1801957287
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Entity Type | Organization
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Legal Business Name | PEDIATRIC ASSOCIATES OF WEST ESSEX, P.A.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1129 BLOOMFIELD AVE SUITE 100
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7127
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Country | US
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Telephone | 973-575-8585
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Fax | 973-882-6914
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Provider Business Mailing Address
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Address Line | 1129 BLOOMFIELD AVE SUITE 100
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7127
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Country | US
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Telephone | 973-575-8585
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Fax | 973-882-6914
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | DR. JOEL STECKELMAN
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Credential | MD
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Telephone | 973-575-8585
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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 | 25MA02390700
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License Number State | NJ
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