Individual
MRS. TAMMIE LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 253-3130
(908) 218-3705
Mailing address
500 N BRIDGE ST, BRIDGEWATER, NJ 08807-2135
(908) 253-3130
(908) 218-3705
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
Enumeration date
01/09/2017
Last updated
01/09/2017
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