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Individual

DR. EDWARD JULIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1030 CLIFTON AVENUE, CLIFTON, NJ 07013
(973) 778-3777
(973) 778-3252
Mailing address
1030 CLIFTON AVENUE, CLIFTON, NJ 07013
(973) 778-3777
(973) 778-3252

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA47551
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060009187
RAILROAD MEDICARE
01
222838862
TAX ID
NJ
01
222838862
HORIZON BCBS
01
36325
AETNA
01
436842
CIGNA
01
477651
AMERIHEALTH
01
700927
HEALTHNET
01
PS188
OXFORD
Enumeration date
05/25/2006
Last updated
06/24/2010
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