Most Relevant Information
Provider Data
| NPI Number: | 1003593583 |
| Provider Name: | REBECCA LEE TASH AUD |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 41YA00125600 |
Most Important Dates
| Enumeration Date: | 06/28/2023 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
140 PARK AVE
FLORHAM PARK
NJ
079321049
Practice Location Phone/Fax
| Phone: | 9734049700 |
| Fax: |
Provider Mailing Location
4 SOUTHVIEW RD
RANDOLPH
NJ
078694813
Provider Mailing Phone/Fax
| Phone: | 9739802543 |
| Fax: |