Individual
MARIA OTALORA SUGASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ESSEX RD, PARAMUS, NJ 07652-1451
(201) 447-8000
Mailing address
204 N 17TH ST, BLOOMFIELD, NJ 07003-5923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01121600
NJ
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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