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Organization

DR. LAURA PADHAM -VISITING AUDIOLOGIST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA ANNE PADHAM AUD (AUDIOLOGIST/ OWNER)
(732) 691-1204
Entity
Organization

Contact information

Practice address
143 W BARNEGAT AVE, OCEAN GATE, NJ 08740-1307
(732) 691-1204
(732) 736-9412
Mailing address
PO BOX 23, OCEAN GATE, NJ 08740-0023
(732) 691-1204
(732) 736-9413

Taxonomy

Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891157715
PERSONAL NPI
NJ
Enumeration date
06/03/2019
Last updated
06/03/2019
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