Individual
TAMARA LYNN BALDESWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 RIVER RD, TEANECK, NJ 07666-1914
(800) 338-8803
Mailing address
1000 RIVER RD, TEANECK, NJ 07666-1914
(800) 338-8803
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
307986
NY
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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