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General NPI Number Information
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NPI Number | 1972653624
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF CENTRAL JERSEY,PA
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 21 CLYDE RD STE 102
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City | SOMERSET
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State | NJ
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Zip | 08873-5043
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Country | US
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Telephone | 732-422-8440
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Fax | 732-422-8404
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Provider Business Mailing Address
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Address Line | 21 CLYDE RD STE 102
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City | SOMERSET
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State | NJ
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Zip | 08873-5043
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Country | US
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Telephone | 732-422-8440
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Fax | 732-422-8404
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIR SHARIF AHMAD
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Credential | MD
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Telephone | 732-422-8440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MA062819
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MA062819
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License Number State | NJ
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