Provider Demographics
NPI:1093337123
Name:MARYANN PLADDYS, AUD
Entity Type:Organization
Organization Name:MARYANN PLADDYS, AUD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLADDYS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:732-428-2174
Mailing Address - Street 1:822 COLONIAL ARMS RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7610
Mailing Address - Country:US
Mailing Address - Phone:908-358-4869
Mailing Address - Fax:
Practice Address - Street 1:64 BRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BAY HEAD
Practice Address - State:NJ
Practice Address - Zip Code:08742-5002
Practice Address - Country:US
Practice Address - Phone:732-428-2174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty