Healthcare Provider Details
I. General information
NPI: 1891048997
Provider Name (Legal Business Name): UNIVERSAL HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2012
Last Update Date: 05/27/2020
Certification Date: 05/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
187 COLUMBIA TPKE
FLORHAM PARK NJ
07932-1313
US
IV. Provider business mailing address
131 ENTERPRISE RD
JOHNSTOWN NY
12095-3326
US
V. Phone/Fax
- Phone: 973-377-7872
- Fax: 973-593-4962
- Phone: 401-353-4174
- Fax: 401-488-5774
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
MARANDO
Title or Position: HEARING INSTRUMENT SPECIALIST
Credential:
Phone: 973-377-7872