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General NPI Number Information
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NPI Number | 1811789753
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Entity Type | Organization
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Legal Business Name | TEAMMD AT MILLBURN LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 37 E WILLOW ST
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City | MILLBURN
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State | NJ
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Zip | 07041-1416
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Country | US
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Telephone | 973-821-3387
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CLIFFWOOD AVE
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City | MATAWAN
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State | NJ
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Zip | 07747-3908
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Country | US
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Telephone | 973-912-8111
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. NICK BUFANO
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Credential |
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Telephone | 973-912-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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