Healthcare Provider Details

I. General information

NPI: 1891738274
Provider Name (Legal Business Name): JUDITH SANDLER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 02/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 TAYLORS MILLS RD SUITE 105 B
MANALAPAN NJ
07726-3281
US

IV. Provider business mailing address

224 TAYLORS MILLS RD SUITE 105 B
MANALAPAN NJ
07726-3281
US

V. Phone/Fax

Practice location:
  • Phone: 732-462-8412
  • Fax: 732-414-6789
Mailing address:
  • Phone: 732-462-8412
  • Fax: 732-414-6789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberY0043
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: