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General NPI Number Information
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NPI Number | 1962828277
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Entity Type | Organization
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Legal Business Name | NEW JERSEY MEDICAL SERVICES GROUP, LLC
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 83 HANOVER RD SUITE 260
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City | FLORHAM
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State | NJ
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Zip | 07932
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Country | US
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Telephone | 973-966-1040
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Fax | 973-966-1080
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Provider Business Mailing Address
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Address Line | 7125 ORCHARD LAKE RD STE 120
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3627
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Country | US
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Telephone | 248-855-5355
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Fax | 248-855-5455
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Authorized Official
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Title or Position | OWNER
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Name | DR. JORDAN GARRISON
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Credential | M.D.
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Telephone | 248-855-5355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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