Individual
MRS. DOLORES R. BOISSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
ONE BROADWAY, SUITE 302, ELMWOOD PARK, NJ 07407
(201) 773-8962
(201) 773-8963
Mailing address
ONE BROADWAY, SUITE 302, ELMWOOD PARK, NJ 07407
(201) 773-8962
(201) 773-8963
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
41YA00011400
NJ
231H00000X
Audiologist
Primary
41YA00011400
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974382
—
NJ
Enumeration date
04/21/2009
Last updated
04/08/2024
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