Organization
WISE HEARING NEW JERSEY LLC
Active
Other names
Wise Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN DARIO HENRIQUEZ ACA, BC-HIS (AUDIOPROSTHOLOGIST)
(201) 779-2413
Entity
Organization
Contact information
Practice address
295A FERRY ST, NEWARK, NJ 07105-3443
(973) 732-2236
(973) 589-5909
Mailing address
295A FERRY ST, NEWARK, NJ 07105-3443
(973) 732-2236
(973) 589-5909
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00075800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0297658
—
NJ
Enumeration date
12/03/2012
Last updated
12/03/2012
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