Organization
WISE HEARING NEW JERSEY LLC
Active
Other names
Wise Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN DARIO HENRIQUEZ BC-HIS (AUDIOPROSTHOLOGIST)
(201) 455-2649
Entity
Organization
Contact information
Practice address
600 BROADWAY, BAYONNE, NJ 07002-3819
(201) 455-2649
(201) 455-2651
Mailing address
600 BROADWAY, BAYONNE, NJ 07002-3819
(201) 455-2649
(201) 455-2651
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00075800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295850
—
NJ
Enumeration date
06/18/2007
Last updated
11/30/2012
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