Individual
ROMY TABACZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 BROOK END DR, WEST ORANGE, NJ 07052-1303
(973) 324-3000
Mailing address
245 CASS AVE, MOUNT CLEMENS, MI 48043-2118
(586) 465-2879
(586) 465-5424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00138400
NJ
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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