Organization
GARDEN STATE HEARING AID CTR. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY L IVEY (PRESIDENT)
(856) 881-8900
Entity
Organization
Contact information
Practice address
121 N BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1629
(856) 881-8900
Mailing address
PO BOX 36, 24 GEORGETOWN RD, GLASSBORO, NJ 08028-0036
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2662400
—
NJ
Enumeration date
09/17/2012
Last updated
09/17/2012
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