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Organization
JACKSON AUDIOLOGY, LLC
Active
Organization
JACKSON AUDIOLOGY, LLC
Active
Other names
Family Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOANNE LONG ROSENBERG M.A. (PRESIDENT)
(609) 895-1666
Entity
Organization
Contact information
Practice address
177 FRANKLIN CORNER RD, SUITE 1-B, LAWRENCEVILLE, NJ 08648-2548
(609) 895-1666
(609) 895-1660
Mailing address
177 FRANKLIN CORNER RD, SUITE 1-B, LAWRENCEVILLE, NJ 08648-2548
(609) 895-1666
(609) 895-1660
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41YA00077300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12225842
CAQH
NJ
Enumeration date
09/14/2011
Last updated
09/14/2011
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