Individual
JIM TSIAMTSIOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 CHANDLER DR, WAYNE, NJ 07470-5504
(201) 240-1384
Mailing address
30 CHANDLER DR, WAYNE, NJ 07470-5504
(201) 240-1384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00390700
NJ
235Z00000X
Speech-Language Pathologist
Primary
—
NJ
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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