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456 Route 22 West, Whitehouse Station, NJ 08889-0000 | |
(908) 479-1341 | |
(908) 534-0144 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 456 Route 22 West, Whitehouse Station, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487894192 | NPI | - | NPPES |
Provider Name | Shailashree C Nanjundiah |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1114064771 PECOS PAC ID: 2163456856 Enrollment ID: I20050922000135 |
Provider Name | Shailashree C Nanjundiah |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1114064771 PECOS PAC ID: 2163456856 Enrollment ID: I20130621000384 |
Mailing Address | Practice Location Address |
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456 Us Highway 22 W, Whitehouse Station, NJ 08889-3439 Ph: (908) 479-1341 | 456 Route 22 West, Whitehouse Station, NJ 08889-0000 Ph: (908) 479-1341 |