=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811010002
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AURICLE HEARING AID CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 700 ROUTE 130 N SUITE 103
-----------------------------------------------------
City | CINNAMINSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08077-3365
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-829-3800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 700 ROUTE 130 N SUITE 103
-----------------------------------------------------
City | CINNAMINSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08077-3365
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-829-3800
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | STEVEN ROBERT STEIN
-----------------------------------------------------
Credential | HEARING AID DISPENSE
-----------------------------------------------------
Telephone | 856-829-3800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 25MG00068200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------