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Organization

LIBERTY

Active
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Organization

LIBERTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK C LOMBARDO JR. MA-CCC A (AUDIOLOGIST)
(201) 498-1207
Entity
Organization

Contact information

Practice address
60 GREGORY AVE, WEST ORANGE, NJ 07052-4713
(201) 306-5443
Mailing address
60 GREGORY AVE, WEST ORANGE, NJ 07052-4713
(201) 306-5443

Taxonomy

Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary

Other

Enumeration date
05/13/2020
Last updated
05/13/2020
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