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NPI 1811994791

NPI 1811994791 : RADIOLOGY AFFILIATES OF CENTRAL NEW JERSEY PC : HAMILTON, NJ

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General NPI Number Information
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    NPI Number           |    1811994791
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    Entity Type          |    Organization 
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    Legal Business Name  |    RADIOLOGY AFFILIATES OF CENTRAL NEW JERSEY PC 
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Dates
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    Enumeration Date     |    07/07/2005
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    Last Update Date     |    02/22/2025
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Provider Practice Location Address
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    Address Line         |    2501 KUSER RD 
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    City                 |    HAMILTON
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    State                |    NJ
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    Zip                  |    08691-3302
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    Country              |    US
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    Telephone            |    609-585-8800
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    Fax                  |    609-585-1825
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Provider Business Mailing Address
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    Address Line         |    PO BOX 787512 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19178-7512
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    Country              |    US
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    Telephone            |    609-689-1600
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    Fax                  |    609-689-1200
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     SHARLEE  LEBLEU 
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    Credential           |    
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    Telephone            |    480-321-7026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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