Organization
ADVANCE AUDIOLOGY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FAN AU.D. (AUDIOLOGIST)
(516) 314-0988
Entity
Organization
Contact information
Practice address
200 PERRINE RD STE 210, OLD BRIDGE, NJ 08857-2836
(516) 314-0988
(908) 935-0574
Mailing address
200 PERRINE RD STE 210, OLD BRIDGE, NJ 08857-2836
(516) 314-0988
(908) 935-0574
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
09/27/2022
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