Healthcare Provider Details

I. General information

NPI: 1578750543
Provider Name (Legal Business Name): RANDOLPH FAMILY HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 STATE ROUTE 10 STE 1
RANDOLPH NJ
07869-2132
US

IV. Provider business mailing address

447 STATE ROUTE 10 STE 1
RANDOLPH NJ
07869-2132
US

V. Phone/Fax

Practice location:
  • Phone: 973-366-6186
  • Fax:
Mailing address:
  • Phone: 973-366-6186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH J SEIDNER
Title or Position: DIRECTOR/AUDIOLOGY & HEARING AIDS
Credential: M.M.SC.,
Phone: 973-366-6186