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NPI Code Detail

MEDICARE: MS. SHARONROSE JARDIM M.S., CF-SLP

MEDICARE: MS. SHARONROSE JARDIM M.S., CF-SLP
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 PathologistTL-2584NJ

General Provider Information

NPI Number : 1386011039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARONROSE JARDIM M.S., CF-SLP
Provider Business Mailing Address
First Line : 3575 QUAKERBRIDGE RD
Second Line :
City : TRENTON
State : NJ
Zip : 08619-1271
Country : US
Telephone Number : 888-244-5373
Fax Number :
Provider Business Practice Location Address
First Line : 3575 QUAKERBRIDGE RD
Second Line :
City : TRENTON
State : NJ
Zip : 08619-1271
Country : US
Telephone Number : 888-244-5373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2015
Last Update Date : 08/28/2015

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