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NPI Code Detail

MEDICARE: YUTA RALBAG

MEDICARE: YUTA RALBAG
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 Pathologist41YS00447900NJ

General Provider Information

NPI Number : 1295005601
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUTA RALBAG
Provider Business Mailing Address
First Line : 125 NED DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5101
Country : US
Telephone Number : 732-691-9299
Fax Number :
Provider Business Practice Location Address
First Line : 125 NED DR
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5101
Country : US
Telephone Number : 732-691-9299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2012
Last Update Date : 01/03/2012

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Directions to “ YUTA RALBAG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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