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NPI Code Detail

MEDICARE: SANFORD HEIGHTS HEARING CENTER INC.

MEDICARE: SANFORD HEIGHTS HEARING CENTER INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302F00000XExclusive Provider Organization

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14501171OTHERNJAETNA NON-HMO
23909476000OTHERNJAMERIHEALTH
360015958OTHERNJHORIZON NJ HEALTH
41007016OTHERNJAETNA HMO
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134459258
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANFORD HEIGHTS HEARING CENTER INC.
Provider Business Mailing Address
First Line : 1984 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3437
Country : US
Telephone Number : 973-275-1006
Fax Number : 973-275-1106
Provider Business Practice Location Address
First Line : 1984 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3437
Country : US
Telephone Number : 973-275-1006
Fax Number : 973-275-1106
Authorized Official
Title or Position : DIRECTOR
Name : IRENE N OKEKE
Credential : AUD
Telephone Number : 973-275-1006
Provider Enumeration Date : 01/12/2010
Last Update Date : 11/27/2013

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