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NPI Code Detail

MEDICARE: ZANENGE F IFAN MPH, IBCLC

MEDICARE:   ZANENGE F IFAN  MPH, IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174N00000XLactation Consultant (Non-RN)19714020VA

General Provider Information

NPI Number : 1033553326
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZANENGE F IFAN MPH, IBCLC
Provider Business Mailing Address
First Line : 43 WHITE MEADOW RD
Second Line :
City : HILLSBOROUGH
State : NJ
Zip : 08844-1619
Country : US
Telephone Number : 908-432-4378
Fax Number :
Provider Business Practice Location Address
First Line : 43 WHITE MEADOW RD
Second Line :
City : HILLSBOROUGH
State : NJ
Zip : 08844-1619
Country : US
Telephone Number : 908-432-4378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2013
Last Update Date : 04/17/2013

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Directions to “ ZANENGE F IFAN MPH, IBCLC” Practice Location

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