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General NPI Number Information
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NPI Number | 1902787476
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Entity Type | Organization
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Legal Business Name | UROLOGY OF HAMILTON
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2051 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08690-3413
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Country | US
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Telephone | 609-690-0877
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Fax |
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Provider Business Mailing Address
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Address Line | 2103 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08690-3403
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Country | US
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Telephone | 609-690-0877
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE / OWNER
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Name | DR. PHILLIP S BRACKIN JR.
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Credential | MD
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Telephone | 609-647-1524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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