NPI 1902575764
Speech Therapy Group
Practice location
- Address
- 239 Bergen Blvd, Fairview, NJ 07022-1323
- Phone
- (201) 945-4545
Authorised official
- Name
- Mohammad Alqudah
- Title
- Slp/Owner
- Phone
- (201) 945-4545
Registered specialties
Pathology Specialist/Technologist
Primary
Registry record
- NPI
- 1902575764
- Entity type
- Organization
- NPI issued
- 7 Sep 2021
- Record last updated
- 7 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.