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NPI Code Detail

MEDICARE: GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY

MEDICARE: GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY
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 Fitter

General Provider Information

NPI Number : 1952729659
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY
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 : 201-703-6805
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 : 201-703-6805
Authorized Official
Title or Position : PRESIDENT
Name : EREZ GOTLIEB
Credential :
Telephone Number : 201-703-6800
Provider Enumeration Date : 04/01/2014
Last Update Date : 08/08/2014

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Directions to “GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY ” Practice Location

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