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NPI 1942386123

NPI 1942386123 : EPSTEIN INTERNAL MEDICINE : DELRON, NJ

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General NPI Number Information
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    NPI Number           |    1942386123
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    Entity Type          |    Organization 
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    Legal Business Name  |    EPSTEIN INTERNAL MEDICINE 
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Dates
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    Enumeration Date     |    10/31/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    2906 ROUTE 130 SOUTH STE 201
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    City                 |    DELRON
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    State                |    NJ
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    Zip                  |    08057-2521
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    Country              |    US
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    Telephone            |    856-764-4115
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    Fax                  |    856-764-4116
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Provider Business Mailing Address
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    Address Line         |    2906 ROUTE 130 SOUTH STE 201
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    City                 |    DELRON
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    State                |    NJ
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    Zip                  |    08057-2521
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    Country              |    US
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    Telephone            |    856-764-4115
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    Fax                  |    856-764-4116
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Authorized Official
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    Title or Position    |    MEDICAL ASSISTANT
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    Name                 |     CHER  RODRIGUEZ 
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    Credential           |    
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    Telephone            |    856-764-4115
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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       |    25MB07370900
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    25MA05429000
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    26NJ00038200
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    License Number State |    NJ
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