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General NPI Number Information
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NPI Number | 1922189513
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Entity Type | Organization
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Legal Business Name | CT HOLDINGS MEDICAL GROUP LLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/09/2024
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Provider Practice Location Address
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Address Line | 1 EVES DR STE 111
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City | MARLTON
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State | NJ
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Zip | 08053-3125
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Country | US
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Telephone | 856-357-3247
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Fax | 856-249-9164
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Provider Business Mailing Address
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Address Line | 1 EVES DR STE 111
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City | MARLTON
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State | NJ
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Zip | 08053-3125
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Country | US
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Telephone | 856-357-3247
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Fax | 856-249-9164
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CHRISTOPHER TROTZ
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Credential | M.D.
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Telephone | 856-625-2407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA07948800
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License Number State | NJ
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