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NPI Code Detail

MEDICARE: NAOMI FUCHS

MEDICARE: NAOMI FUCHS
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1225432065
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAOMI FUCHS
Provider Business Mailing Address
First Line : 1200 RIVER AVE
Second Line : SUITE 3C
City : LAKEWOOD
State : NJ
Zip : 08701-5657
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 RIVER AVE
Second Line : SUITE 3C
City : LAKEWOOD
State : NJ
Zip : 08701-5657
Country : US
Telephone Number : 732-994-0350
Fax Number :
Authorized Official
Title or Position : CCC-SLP
Name : NAOMI E FUCHS
Credential : MS
Telephone Number : 732-901-4266
Provider Enumeration Date : 10/21/2014
Last Update Date : 10/21/2014

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Directions to “NAOMI FUCHS ” Practice Location

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