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Individual

DORIS A RAPISARDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MAS CCC A

Contact information

Practice address
860 ROUTE #10 WEST, RANDOLPH, NJ 07869
(973) 927-3433
(973) 927-3473
Mailing address
179 RT. 46 W, STE. 9-#115, ROCKAWAY, NJ 07866
(973) 927-3433
(973) 927-3473

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0041YA00149
NJ
237600000X
Audiologist-Hearing Aid Fitter
25MG00614
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0060127
NJ
01
375083
AETNA
NJ
01
7324596
HORIZON BCBS
NJ
01
P3599374
OXFORD UHC
NJ
Enumeration date
06/05/2007
Last updated
03/15/2013
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