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General NPI Number Information
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NPI Number | 1952360125
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY SURGICAL SPECIALISTS, P.A.
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 75 VERONICA AVENUE SUITE 203
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City | SOMERSET
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State | NJ
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Zip | 08873
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Country | US
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Telephone | 732-249-0360
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Fax | 732-249-0035
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Provider Business Mailing Address
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Address Line | 75 VERONICA AVENUE SUITE 203
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City | SOMERSET
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State | NJ
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Zip | 08873
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Country | US
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Telephone | 732-249-0360
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Fax | 732-249-0035
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | DR. NIRANJAN V RAO
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Credential | M.D.
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Telephone | 732-249-0360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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