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Individual

REBECCA ALISON CRONK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
250 BROOKMERE COURT, RIDGEWOOD, NJ 07450
(201) 291-0550
Mailing address
PO BOX 406153, ALTANTA, GA 30384-1976
(201) 291-0550

Taxonomy

Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
41YA00034100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7121202
NJ
Enumeration date
08/10/2006
Last updated
01/22/2009
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