Provider Demographics
NPI:1104367523
Name:HEARING HEALTH PA LLC
Entity Type:Organization
Organization Name:HEARING HEALTH PA LLC
Other - Org Name:AMERICAN HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-588-7266
Mailing Address - Street 1:67 WALNUT AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1640
Mailing Address - Country:US
Mailing Address - Phone:732-882-7900
Mailing Address - Fax:732-481-2820
Practice Address - Street 1:67 WALNUT AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1640
Practice Address - Country:US
Practice Address - Phone:732-882-7900
Practice Address - Fax:732-481-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-18
Last Update Date:2017-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty