Individual
DR. LISA BIRNBAUM ROOT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
334 UNION ST, HACKENSACK, NJ 07601-4303
(201) 343-6000
(201) 343-7794
Mailing address
326 VANDELINDA AVE, TEANECK, NJ 07666-3135
(201) 836-7260
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
360
NJ
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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