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1982132684
ALEXANDRA LAUREN TABAKIN
NEW BRUNSWICK, NJ
NPI
1982132684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NJ 390200000X)
Enumeration Date
2017-05-25
Last Update Date
2017-05-25
Business Address
ALEXANDRA LAUREN TABAKIN MD
PO BOX 19
NEW BRUNSWICK, NJ 08903-0019
Phone number: 732-235-7674
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Mailing Address
ALEXANDRA LAUREN TABAKIN MD
4 KNOLLWOOD TER
RANDOLPH, NJ 07869-3012
Phone number: 862-812-7749
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