Provider Demographics
NPI:1194180869
Name:TEAM HEARING SWEDESBORO, LLC
Entity Type:Organization
Organization Name:TEAM HEARING SWEDESBORO, LLC
Other - Org Name:TEAM HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SAKINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFFARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:8564-678-7777
Mailing Address - Street 1:300 LEXINGTON RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1278
Mailing Address - Country:US
Mailing Address - Phone:856-467-8777
Mailing Address - Fax:
Practice Address - Street 1:300 LEXINGTON RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085-1278
Practice Address - Country:US
Practice Address - Phone:856-467-8777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00093800237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty