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General NPI Number Information
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NPI Number | 1801963491
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Entity Type | Organization
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Legal Business Name | SOMERSET SURGICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 475 E 72ND ST SUITE 102
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City | NEW YORK
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State | NY
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Zip | 10021-4458
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Country | US
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Telephone | 212-249-9010
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Fax | 212-249-0713
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Provider Business Mailing Address
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Address Line | 475 E 72ND ST SUITE 102
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City | NEW YORK
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State | NY
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Zip | 10021-4458
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Country | US
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Telephone | 212-249-9010
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Fax | 212-249-0713
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Authorized Official
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Title or Position | PRESIDENT
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Name | NORMAN SOHN
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Credential | MD
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Telephone | 212-249-9010
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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 | 093532
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License Number State | NY
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