| NPI | 1750719035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES BOISSELLE Audiologist 973-278-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00011400) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |