Individual
MRS. LINDSAY MADELEINE PECK SPOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(203) 565-3169
Mailing address
661 POMPTON AVE, APT 4, CEDAR GROVE, NJ 07009-1730
(203) 565-3169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00290900
NJ
Other
Enumeration date
09/07/2012
Last updated
09/07/2016
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