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Individual

DR. NANCY SPRAGUE SPEEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
765 TEANECK RD, TEANECK, NJ 07666-4248
(201) 833-2211
Mailing address
520 AMSTERDAM AVE, RIDGEWOOD, NJ 07450-5402
(201) 670-8608

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07162700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095338
NJ
Enumeration date
11/02/2006
Last updated
07/08/2007
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