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Organization
HACKENSACK AUDIOLOGY AND HEARING AID ASSOCIATES, LLC
Active
Organization
HACKENSACK AUDIOLOGY AND HEARING AID ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALAN BODKIN AU.D. (COO)
(914) 261-3147
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, SUITE 808, HACKENSACK, NJ 07601-1997
(914) 261-3147
Mailing address
20 PROSPECT AVE, SUITE 808, HACKENSACK, NJ 07601-1997
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00057700
NJ
231HA2400X
Assistive Technology Practitioner Audiologist
41YA00057700
NJ
231HA2500X
Assistive Technology Supplier Audiologist
41YA00057700
NJ
237600000X
Audiologist-Hearing Aid Fitter
25MG00090100
NJ
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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