Provider Demographics
NPI:1730457086
Name:ZIRKE, TAMMY EILEEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:EILEEN
Last Name:ZIRKE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 RAYMOND BLVD APT 22L
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-4114
Mailing Address - Country:US
Mailing Address - Phone:973-752-2023
Mailing Address - Fax:
Practice Address - Street 1:47 ORIENT WAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2082
Practice Address - Country:US
Practice Address - Phone:201-935-5508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00080800231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist