Individual
JESSICA LYNN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
140 PARK AVENUE, AUDIOLOGY, FLORHAM PARK, NJ 07932
(973) 404-9890
(973) 267-0024
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00104600
NJ
231H00000X
Audiologist
—
PA
Other
Enumeration date
05/27/2016
Last updated
03/28/2022
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