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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