Provider Information for 1083107213
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MARGARET AUGUSTE
Sex: Female
NPI: 1083107213
Last Updated: 2018-06-12
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1083107213 | ||||||||
| Enumeration Date | 2018-06-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 81 12TH ST SOMERSET, NJ 08873-1548 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 15 W PROSPECT ST EAST BRUNSWICK, NJ 08816-2161 United States Phone: 732-254-0600 | Fax: | ||||||||
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