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Individual

BENJAMIN HALBERSTAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD CCC-SLP

Contact information

Practice address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
(973) 955-4395
Mailing address
329 AYCRIGG AVE, PASSAIC, NJ 07055-3713
(973) 471-3046
(973) 955-4395

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
NJ

Other

Enumeration date
12/02/2011
Last updated
12/02/2011
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