Healthcare Provider Details

I. General information

NPI: 1194841601
Provider Name (Legal Business Name): ACOUSTICAL HEARING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 E WOOD ST SUITE 102
VINELAND NJ
08360-3730
US

IV. Provider business mailing address

629 E WOOD ST SUITE 102
VINELAND NJ
08360-3730
US

V. Phone/Fax

Practice location:
  • Phone: 856-691-6809
  • Fax: 856-691-2785
Mailing address:
  • Phone: 856-691-6809
  • Fax: 856-691-2785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number422
License Number StateNJ

VIII. Authorized Official

Name: MR. NICHOLAS MICHAEL BRANDEMARTI
Title or Position: OWNER
Credential:
Phone: 856-691-6809