Organization
SPEECH THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ALQUDAH (SLP/OWNER)
(201) 945-4545
Entity
Organization
Contact information
Practice address
239 BERGEN BLVD, FAIRVIEW, NJ 07022-1323
(201) 945-4545
Mailing address
239 BERGEN BLVD, FAIRVIEW, NJ 07022-1323
(201) 945-4545
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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