Provider Demographics
NPI:1447217237
Name:FUCHS, TARA LOUISE (AUD)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:LOUISE
Last Name:FUCHS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 POINT VIEW RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-1136
Mailing Address - Country:US
Mailing Address - Phone:732-785-2940
Mailing Address - Fax:
Practice Address - Street 1:300A PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:2ND FLOOR SUITE 204
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1421
Practice Address - Country:US
Practice Address - Phone:609-448-9730
Practice Address - Fax:609-448-9732
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJYA00055800231H00000X
NJ25MG00083400237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist