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General NPI Number Information
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NPI Number | 1952561854
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Entity Type | Organization
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Legal Business Name | M. LUPOVICI, M.D., P.A.
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 254 PRINCETON HIGHTSTOWN RD
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-1402
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Country | US
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Telephone | 609-448-7200
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Fax | 609-448-4607
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Provider Business Mailing Address
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Address Line | 254 PRINCETON HIGHTSTOWN RD
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-1402
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Country | US
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Telephone | 609-448-7200
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Fax | 609-448-4607
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MELISSA LYON
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Credential |
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Telephone | 609-448-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MAO34309
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA03738200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 34309
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License Number State | NJ
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