Individual
DORA TSIATTALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
15 CLAREMOUNT AVE, CLIFFSIDE PARK, NJ 07010-2903
(201) 214-3265
Mailing address
15 CLAREMOUNT AVE, CLIFFSIDE PARK, NJ 07010-2903
(201) 214-3265
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
30673708
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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