Provider Demographics
NPI:1619389418
Name:TALAMAYAN, RONALD C (DPT)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:C
Last Name:TALAMAYAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 NEWINGTON LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1416
Mailing Address - Country:US
Mailing Address - Phone:732-281-1401
Mailing Address - Fax:732-281-1402
Practice Address - Street 1:1935 LAKEWOOD RD
Practice Address - Street 2:SUITE 9
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1211
Practice Address - Country:US
Practice Address - Phone:732-831-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00535400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist