Individual
MRS. MALKA J NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
301 MADISON AVE, LAKEWOOD, NJ 08701-3266
(732) 802-7377
(732) 802-7378
Mailing address
301 MADISON AVE, LAKEWOOD, NJ 08701-3266
(732) 802-7377
(732) 802-7378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-2643
NJ
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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