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Individual

MR. SCOTT SHANSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
73 MOUNTAINVIEW BLVD, WAYNE, NJ 07470-6709
(201) 913-5929
Mailing address
73 MOUNTAINVIEW BLVD, WAYNE, NJ 07470-6709
(201) 913-5929

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00537800
NJ

Other

Enumeration date
06/27/2013
Last updated
06/27/2013
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