Individual
MARISA R GASMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
151 SUMMIT AVE, SUMMIT, NJ 07901-2813
(908) 598-0228
Mailing address
400 DIGAETANO TER, WEST ORANGE, NJ 07052-4155
(973) 736-3214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00543200
NJ
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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