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General NPI Number Information
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NPI Number | 1962473504
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Entity Type | Organization
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Legal Business Name | RARITAN VALLEY ORTHODONTICS PA
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 901 RT 202 NORTH
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City | RARITAN
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State | NJ
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Zip | 08869
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Country | US
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Telephone | 908-231-1860
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Fax | 908-231-7945
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Provider Business Mailing Address
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Address Line | 901 RT 202 NORTH
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City | RARITAN
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State | NJ
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Zip | 08869
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Country | US
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Telephone | 908-231-1860
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Fax | 908-231-7945
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FREDERIC C STERRITT
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Credential |
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Telephone | 908-231-1860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | NJ
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