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Individual

KERI L ZYSKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCTMB

Contact information

Practice address
70 DIANE DR, TINTON FALLS, NJ 07753-7950
(908) 208-9091
Mailing address
70 DIANE DR, TINTON FALLS, NJ 07753-7950
(908) 208-9091

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
410168-00
NJ

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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