Provider Demographics
NPI:1710194972
Name:FISHMANS ACOUSTICON HRG AID SERVICES INC
Entity Type:Organization
Organization Name:FISHMANS ACOUSTICON HRG AID SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:FISHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BC HIS
Authorized Official - Phone:609-599-9393
Mailing Address - Street 1:979 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611
Mailing Address - Country:US
Mailing Address - Phone:609-599-9393
Mailing Address - Fax:609-599-1739
Practice Address - Street 1:979 S BROAD ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611
Practice Address - Country:US
Practice Address - Phone:609-599-9393
Practice Address - Fax:609-599-1739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Not Answered332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0039594Medicaid
NJ1035150OtherHORIZON NJ HEALTH