Organization
OLIVIA VAN WAGNER, LLC
Active
Other names
Ewing Hearing Health
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA VAN WAGNER MA (OWNER)
(609) 245-0006
Entity
Organization
Contact information
Practice address
860 LOWER FERRY RD STE 2, EWING, NJ 08628-3516
(609) 245-0006
Mailing address
860 LOWER FERRY RD STE 2, EWING, NJ 08628-3516
(609) 245-0006
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
YA00255
NJ
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
03/14/2018
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