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NPI 1902901333

NPI 1902901333 : CLARA MAASS MEDICAL CENTER : BELLEVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1902901333
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLARA MAASS MEDICAL CENTER 
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Dates
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    Enumeration Date     |    09/13/2006
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    Last Update Date     |    03/19/2025
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Provider Practice Location Address
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    Address Line         |    1 CLARA MAASS DR 
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    City                 |    BELLEVILLE
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    State                |    NJ
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    Zip                  |    07109-3550
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    Country              |    US
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    Telephone            |    973-450-2000
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    Fax                  |    732-923-2272
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Provider Business Mailing Address
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    Address Line         |    1 CLARA MAASS DR 
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    City                 |    BELLEVILLE
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    State                |    NJ
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    Zip                  |    07109-3550
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    Country              |    US
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    Telephone            |    973-450-2000
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    Fax                  |    973-844-4924
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     THOMAS M BURKE 
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    Credential           |    
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    Telephone            |    973-450-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    10701
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    NJ
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