Provider Demographics
NPI:1508068149
Name:ACOUSTICON BERGEN HEARING AID CTR
Entity Type:Organization
Organization Name:ACOUSTICON BERGEN HEARING AID CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUHAIME
Authorized Official - Suffix:
Authorized Official - Credentials:BS HIS BOARD CERTIFI
Authorized Official - Phone:201-666-9161
Mailing Address - Street 1:195 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:195 3RD AVE
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07675-2126
Practice Address - Country:US
Practice Address - Phone:201-666-9161
Practice Address - Fax:201-666-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ67237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty