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General NPI Number Information
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NPI Number | 1861762197
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Entity Type | Organization
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Legal Business Name | NORTH BRUNSWICK MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 986 SHOPPES BLVD
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-2776
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Country | US
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Telephone | 732-497-5000
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Fax | 732-497-5001
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Provider Business Mailing Address
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Address Line | 986 SHOPPES BOULEVARD
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 732-497-5000
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Fax | 732-497-5001
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Authorized Official
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Title or Position | INTERNIST
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Name | DR. ROHAIL ASRAR
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Credential | MD
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Telephone | 407-496-7423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 25MA08142900
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License Number State | NJ
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