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General NPI Number Information
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NPI Number | 1821298852
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Entity Type | Organization
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Legal Business Name | UROLOGICAL SPECIALISTS OF SOUTHERN NEW JERSEY LLC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 2301 EVESHAM ROAD SUITE 508
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 856-651-0500
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Fax | 856-651-0700
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Provider Business Mailing Address
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Address Line | 2301 EVESHAM ROAD SUITE 508
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 856-651-0500
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Fax | 856-651-0700
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAY L BLOCH
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Credential | MD
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Telephone | 856-651-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | NJ25MA4980700
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License Number State | NJ
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