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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Women |
282NW0100X |
| NPI Number | 1598144834 |
| LBN Legal business name | NORTH SHORE LIJ |
| Authorized official | STEPHANIE TARDIEU - (RESIDENT PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/19/2015 |
| Last updated | 05/19/2015 - About 11 years ago |
| Identifiers | n/a |
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NORTH SHORE LIJ
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NORTH SHORE LIJ