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Organization

AUDSLP DIAGNOSTIC AND REHABILITATION CLINIC

Active
Other names
Audslp Diagnostic and Rehabilitation Clinic 2
Organization subpart
Yes

Provider details

NPI number
Authorized official
NORMA IRIS CARBAJAL (OFFICE MANAGER)
(551) 202-4929
Entity
Organization

Contact information

Practice address
1 BROADWAY STE 302, ELMWOOD PARK, NJ 07407-1845
(201) 773-8962
(201) 773-8963
Mailing address
1 BROADWAY STE 302, ELMWOOD PARK, NJ 07407-1845
(201) 773-8962
(201) 773-8963

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851535934
NPI
NJ
Enumeration date
12/20/2018
Last updated
06/04/2022
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