Organization
WISE HEARING NEW JERSEY
Active
Organization
WISE HEARING NEW JERSEY
Active
Other names
Wise Hearing Newark
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN DARIO HENRIQUEZ AUDIOPROSTHOLOGIST (PRESIDENT)
(973) 589-8341
Entity
Organization
Contact information
Practice address
295A FERRY ST, NEWARK, NJ 07105-3443
(973) 589-8341
(973) 589-5909
Mailing address
295A FERRY ST, NEWARK, NJ 07105-3443
(973) 589-8341
(973) 589-5909
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
MG00758
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8125503
—
NJ
Enumeration date
11/19/2009
Last updated
11/19/2009
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