Healthcare Provider Details

I. General information

NPI: 1467571505
Provider Name (Legal Business Name): NEW JERSEY SPEECH AND HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 MARLTON PIKE E
CHERRY HILL NJ
08003-2118
US

IV. Provider business mailing address

1924 EAST ROUTE 70
CHERRY HILL NJ
08003-2118
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-2212
  • Fax:
Mailing address:
  • Phone: 856-424-2212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number41TA00065500
License Number StateNJ

VIII. Authorized Official

Name: ALVIN DUBIN
Title or Position: PHYSICIAN
Credential: D.O
Phone: 856-424-2212