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Individual

EDWARD THOMAS REGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BC-HIS,ACA

Contact information

Practice address
44 CHESTERFIELD DR, JACKSON, NJ 08527
(732) 276-7106
(732) 276-7105
Mailing address
44 CHESTERFIELD DR, JACKSON, NJ 08527-6325
(732) 276-7106
(732) 276-7105

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
NJ1051
NJ

Other

Enumeration date
04/18/2012
Last updated
04/18/2012
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