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Organization

JACKSON AUDIOLOGY, LLC

Active
Other names
Family Hearing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOANNE LONG ROSENBERG M.A. (PRESIDENT)
(609) 895-1666
Entity
Organization

Contact information

Practice address
177 FRANKLIN CORNER RD, SUITE 1-B, LAWRENCEVILLE, NJ 08648-2548
(609) 895-1666
(609) 895-1660
Mailing address
177 FRANKLIN CORNER RD, SUITE 1-B, LAWRENCEVILLE, NJ 08648-2548
(609) 895-1666
(609) 895-1660

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
41YA00077300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12225842
CAQH
NJ
Enumeration date
09/14/2011
Last updated
09/14/2011
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