Individual
NACHUM WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1216
(732) 814-6969
Mailing address
603 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1216
(732) 814-6969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00132500
NJ
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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