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General NPI Number Information
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NPI Number | 1861303877
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Entity Type | Organization
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Legal Business Name | SUNRISE HEALTH SERVICES NJ PC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 36 AIRPORT RD STE 105
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City | LAKEWOOD
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State | NJ
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Zip | 08701-7034
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Country | US
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Telephone | 212-201-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 407 WILLOUGHBY AVE
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City | BROOKLYN
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State | NY
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Zip | 11205-4590
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Country | US
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Telephone | 212-201-1252
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SAMUEL WERTZBERGER
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Credential | MD
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Telephone | 212-201-1252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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