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NPI Code Detail

MEDICARE: TALAH ROBBINS LAC

MEDICARE:   TALAH  ROBBINS  LAC
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
1171100000XAcupuncturist25MZ00091900NJ

General Provider Information

NPI Number : 1922348432
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALAH ROBBINS LAC
Provider Business Mailing Address
First Line : 50 CHURCH ST STE L10
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2745
Country : US
Telephone Number : 973-509-8300
Fax Number :
Provider Business Practice Location Address
First Line : 50 CHURCH ST STE L10
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2745
Country : US
Telephone Number : 973-509-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2013
Last Update Date : 12/09/2025

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Directions to “ TALAH ROBBINS LAC” Practice Location

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