Organization
WISE HEARING NEW JERSEY LLC
Active
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) 758-7853
Entity
Organization
Contact information
Practice address
8421 BERGENLINE AVE, NORTH BERGEN, NJ 07047-6517
(201) 758-7853
Mailing address
60 CRANE AVE, RUTHERFORD, NJ 07070-2538
(201) 779-2413
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MG00075800
NJ
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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