Organization
WISE HEARING NEW JERSEY LLC
Active
Parent organization
WISE HEARING NEW JERSEY LLC
Other names
Wise Hearing
Organization subpart
Yes
Provider details
NPI number
Legal business name
WISE HEARING NEW JERSEY LLC
Authorized official
RUBEN DARIO HENRIQUEZ ACA, DC-HIS (AUDIOPROSTHOLOGIST/MEMBER)
(201) 428-9242
Entity
Organization
Contact information
Practice address
179 KEARNEY AVE, KEARNY, NJ 07032
(201) 428-9242
(201) 428-9244
Mailing address
600 BROADWAY, BAYONNE, NJ 07002
(201) 455-2649
(201) 455-2651
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295850
—
NJ
Enumeration date
11/05/2018
Last updated
11/05/2018
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