Individual
LILLIAN ROSE TAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
241 MOORE ST STE 101, HACKENSACK, NJ 07601-7533
(201) 342-2478
(201) 518-8494
Mailing address
241 MOORE ST STE 101, HACKENSACK, NJ 07601-7533
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00373900
NJ
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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