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General NPI Number Information
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NPI Number | 1922575935
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Entity Type | Organization
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Legal Business Name | MATRIX SURGICAL LLC
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Dates
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Enumeration Date | 10/28/2018
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Last Update Date | 10/28/2018
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Provider Practice Location Address
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Address Line | 140 ROUTE 17 NORTH SUITE 105
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City | PARAMUS
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State | NJ
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Zip | 07652-2815
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Country | US
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Telephone | 201-225-1101
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Fax | 201-225-1106
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Provider Business Mailing Address
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Address Line | 140 N RTE 17 STE 105
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City | PARAMUS
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State | NJ
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Zip | 07652-2815
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Country | US
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Telephone | 201-225-1101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARTIN J. MOSKOVITZ
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Credential | MD
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Telephone | 201-788-7912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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