Individual
BRIAN ELCIO MAGUETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
500 CHARLES ST, PERTH AMBOY, NJ 08861-3352
(732) 376-6050
Mailing address
1203 CHERYL DR, ISELIN, NJ 08830-3134
(732) 570-5298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01851422
NJ
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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