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General NPI Number Information
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NPI Number | 1811050719
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY FAMILY PHYSICIANS
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 754 STATE ROUTE 18 SUITE 107
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4909
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Country | US
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Telephone | 732-257-1171
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Fax | 732-257-2618
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Provider Business Mailing Address
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Address Line | 754 STATE ROUTE 18 SUITE 107
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4909
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Country | US
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Telephone | 732-257-1171
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Fax | 732-257-2618
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Authorized Official
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Title or Position | PRES
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Name | DR. MICHELLE A TOMLINSON
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Credential | DO
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Telephone | 732-257-1171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MB052061
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License Number State | NJ
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