| NPI | 1225375744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE DUTSON General Manager 732-564-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NV A-1596) |
| 237700000X Hearing Instrument Specialist (Licence: NV 320) | |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2014-12-01 |