Organization
CHRNPDA
Active
Other names
JC Fyzical Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MASCARENHAS (MANAGER)
(201) 984-0520
Entity
Organization
Contact information
Practice address
1217 SUMMIT AVE, JERSEY CITY, NJ 07307-3138
(201) 984-0520
(848) 257-9207
Mailing address
1217 SUMMIT AVE, JERSEY CITY, NJ 07307-3138
(201) 984-0520
(848) 257-9207
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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