Organization
SAN CONSULTING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIMON NEUWIRTH (OWNER)
(917) 873-9521
Entity
Organization
Contact information
Practice address
1156 COUGHLIN ST, LAKEWOOD, NJ 08701-6288
(732) 866-8883
Mailing address
1156 COUGHLIN ST, LAKEWOOD, NJ 08701-6288
(732) 866-8883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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