Individual
MALA RUSHABH MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA
Contact information
Practice address
1211 HAMBURG TPKE, SUITE 205, WAYNE, NJ 07470-5043
(973) 633-0808
(973) 633-8811
Mailing address
1211 HAMBURG TPKE, SUITE 205, WAYNE, NJ 07470-5043
(973) 633-0808
(973) 633-8811
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00046100
NJ
237600000X
Audiologist-Hearing Aid Fitter
25MG00089400
NJ
Other
Enumeration date
03/19/2008
Last updated
01/06/2009
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