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NPI Code Detail

MEDICARE: ANDREA REICHEL MS CCCA

MEDICARE:   ANDREA  REICHEL  MS CCCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter41YA00053600NJ

General Provider Information

NPI Number : 1255744603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA REICHEL MS CCCA
Provider Business Mailing Address
First Line : 13-19 RIVER RD
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-1837
Country : US
Telephone Number : 201-703-6800
Fax Number :
Provider Business Practice Location Address
First Line : 13-19 RIVER RD
Second Line :
City : FAIR LAWN
State : NJ
Zip : 07410-1837
Country : US
Telephone Number : 201-703-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 03/22/2016

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