Ethan And The Bean A New Jersey Non Profit Corporation
Specialty details in registry · West Caldwell, NJ
At a glance
31 Fairfield Avenue, West Caldwell, NJ 07006
NPPES record updated Dec 18, 2018. Public records can lag behind changes at a practice.
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Practice location
31 Fairfield AvenueWest Caldwell, NJ 07006
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 373H00000X
- Enumeration date
- Dec 18, 2018
- Record updated
- Dec 18, 2018
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
106E00000X
Specialty details in registry
173C00000X
Occupational Therapist
225X00000X
Speech-Language Pathologist
235Z00000X
Specialty details in registry
373H00000X · Primary
Specialty details in registry
374U00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
31 Fairfield AvenueWest Caldwell, NJ 07006
- Phone
- (973) 303-9678
Mailing address
174 FOREST AVENUEWEST CALDWELL, NJ 07006
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