Individual
NAN TARGOVNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-A
Contact information
Practice address
1455 US HIGHWAY 1, EDISON, NJ 08837-2418
(732) 549-7455
Mailing address
P.O BOX 406153, ATLANTA, GA 30384-1876
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00015000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7121105
—
NJ
Enumeration date
07/15/2006
Last updated
10/22/2009
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