MEDICARE: HEARING HEALTH PA LLC

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
1	237600000X	Audiologist-Hearing Aid Fitter
2	237700000X	Hearing Instrument Specialist

General Provider Information

NPI Number	:	1710428990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING HEALTH PA LLC

Provider Business Mailing Address
First Line	:	2614 BRIDGE AVE
Second Line	:
City	:	POINT PLEASANT
State	:	NJ
Zip	:	08742-4200
Country	:	US
Telephone Number	:	732-892-3882
Fax Number	:	732-892-6248

Provider Business Practice Location Address
First Line	:	2614 BRIDGE AVE
Second Line	:
City	:	POINT PLEASANT
State	:	NJ
Zip	:	08742-4200
Country	:	US
Telephone Number	:	732-892-3882
Fax Number	:	732-892-6248

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	JONATHAN WEIZMAN
Credential	:
Telephone Number	:	973-588-7266

Provider Enumeration Date	:	03/20/2017
Last Update Date	:	03/20/2017

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Directions to “HEARING HEALTH PA LLC ” Practice Location

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