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General NPI Number Information
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NPI Number | 1962968313
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Entity Type | Organization
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Legal Business Name | C. DANDREA MEDICAL
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 150 FAIRFIELD RD
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2407
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Country | US
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Telephone | 201-317-4590
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Fax |
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Provider Business Mailing Address
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Address Line | 150 FAIRFIELD RD
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City | FAIRFIELD
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State | NJ
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Zip | 07004-2407
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Country | US
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Telephone | 201-317-4590
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. CHRISTOPHER R DANDREA
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Credential | MD
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Telephone | 201-317-4590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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