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General NPI Number Information
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NPI Number | 1861290744
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Entity Type | Organization
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Legal Business Name | RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 3700 NJ-33 SUITE A
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-897-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 379 CAMPUS DR FL 4
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City | SOMERSET
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State | NJ
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Zip | 08873-1161
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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 | MD
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Name | RURIC (ANDY) CLESBY ANDERSON
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Credential | MD
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Telephone | 973-322-4804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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