SearchNew Jersey235Z00000X

Tara Edgette

NPI 1326476342 · on the registry since 2013 · sole proprietor

Practice

Address
36 Valley Rd
Apt. 512
Montclair, NJ 07042
Phone
(352) 682-8665

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey