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General NPI Number Information
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NPI Number | 1891410494
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Entity Type | Organization
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Legal Business Name | CAREND PROVIDER GROUP OF NEW JERSEY PC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 101 EISENHOWER PKWY STE 300 PMB 3146
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City | ROSELAND
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State | NJ
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Zip | 07068-0706
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Country | US
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Telephone | 708-872-7108
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 W GRAND AVE STE B PMB 89496
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 708-306-1534
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELIZABETH FERLUGA
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Credential | M.D.
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Telephone | 708-630-1534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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