Healthcare Provider Details

I. General information

NPI: 1750633962
Provider Name (Legal Business Name): HUNTERDON AUDIOLOGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 10/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 COMMERCE ST
FLEMINGTON NJ
08822-1743
US

IV. Provider business mailing address

18 COMMERCE ST
FLEMINGTON NJ
08822-1743
US

V. Phone/Fax

Practice location:
  • Phone: 908-806-7676
  • Fax: 908-806-2228
Mailing address:
  • Phone: 908-806-7676
  • Fax: 908-806-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: JANET MCGUIRE
Title or Position: OWNER
Credential: AU.D.
Phone: 908-806-7676