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General NPI Number Information
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NPI Number | 1811856032
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Entity Type | Organization
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Legal Business Name | ANDREW NAM, MD, MBA P.C.
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1608 LEMOINE AVE STE 203
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City | FORT LEE
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State | NJ
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Zip | 07024-5636
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Country | US
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Telephone | 917-349-3107
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Fax | 201-944-8411
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Provider Business Mailing Address
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Address Line | 600 12TH ST APT 902
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City | PALISADES PARK
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State | NJ
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Zip | 07650-2085
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW NAM
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Credential | MD
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Telephone | 917-349-3107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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