Individual
MRS. JUDITH SHARON TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC
Contact information
Practice address
21 HARRISON ST, EDISON, NJ 08817-2968
(732) 558-8816
Mailing address
21 HARRISON ST, EDISON, NJ 08817-2968
(732) 558-8816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00253900
NJ
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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