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NPI 1952681918

NPI 1952681918 : MEDICAL ASSOCIATES OF ENGLEWOOD, PC : ENGLEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1952681918
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL ASSOCIATES OF ENGLEWOOD, PC 
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Dates
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    Enumeration Date     |    08/23/2011
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    Last Update Date     |    01/17/2024
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Provider Practice Location Address
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    Address Line         |    350 ENGLE ST 
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    City                 |    ENGLEWOOD
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    State                |    NJ
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    Zip                  |    07631
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    Country              |    US
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    Telephone            |    201-608-2136
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    Fax                  |    201-894-5209
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Provider Business Mailing Address
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    Address Line         |    350 ENGLE ST 
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    City                 |    ENGLEWOOD
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    State                |    NJ
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    Zip                  |    07631-1808
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    Country              |    US
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    Telephone            |    201-608-2136
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    Fax                  |    201-894-5209
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     HILLARY  COHEN 
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    Credential           |    
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    Telephone            |    201-894-3280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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