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General NPI Number Information
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NPI Number | 1992026165
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Entity Type | Organization
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Legal Business Name | HEALTH WISE WOMEN
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 79 HUDSON STREET SUITE 204
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City | HOBOKEN
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State | NJ
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Zip | 07030
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Country | US
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Telephone | 201-222-5451
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Fax | 201-604-6332
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Provider Business Mailing Address
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Address Line | 79 HUDSON STREET SUITE 204
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City | HOBOKEN
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State | NJ
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Zip | 07030
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Country | US
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Telephone | 201-222-5451
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Fax | 201-604-6332
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Authorized Official
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Title or Position | PRESIDANT
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Name | DR. MOHAMED ESIELY
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Credential | MD
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Telephone | 201-647-6794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA08667800
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License Number State | NJ
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