Individual
ROSE S FEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 AYCRIGG AVE, PASSAIC, NJ 07055-5608
(973) 779-8726
Mailing address
102 AYCRIGG AVE, PASSAIC, NJ 07055-5608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00554900
NJ
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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