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General NPI Number Information
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NPI Number | 1952404006
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Entity Type | Organization
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Legal Business Name | WATCHUNG SURGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 40 STIRLING ROAD
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City | WATCHUNG
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State | NJ
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Zip | 07069
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Country | US
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Telephone | 908-769-8000
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Fax | 908-769-4139
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Provider Business Mailing Address
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Address Line | 40 STIRLING ROAD
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City | WATCHUNG
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State | NJ
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Zip | 07069
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Country | US
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Telephone | 908-769-8000
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Fax | 908-769-4139
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ALLAN B COHEN
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Credential | MD
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Telephone | 908-769-0912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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