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General NPI Number Information
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NPI Number | 1841336989
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Entity Type | Organization
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Legal Business Name | DR. MAGDY NASRA MD PC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 723 N BEERS ST SUITE2 C
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City | HOLMDEL
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State | NJ
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Zip | 07733-1517
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Country | US
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Telephone | 732-888-8255
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Fax | 732-888-7682
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Provider Business Mailing Address
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Address Line | 723 N BEERS ST SUITE 2C
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City | HOLMDEL
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State | NJ
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Zip | 07733-1517
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Country | US
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Telephone | 732-888-8255
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Fax | 732-888-7682
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MAGDY NASRA
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Credential | MD
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Telephone | 732-888-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA059343
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License Number State | NJ
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