Healthcare Provider Details

I. General information

NPI: 1497935696
Provider Name (Legal Business Name): CHRISTINA LOUISE PARROTT NBC-HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 05/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2614 BRIDGE AVENUE
PT. PLEASANT NJ
08742
US

IV. Provider business mailing address

2614 BRIDGE AVENUE
POINT PLEASANT NJ
08742
US

V. Phone/Fax

Practice location:
  • Phone: 732-892-3882
  • Fax: 732-892-6248
Mailing address:
  • Phone: 732-892-3882
  • Fax: 732-892-6248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number25MG00109000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: