Provider Demographics
NPI:1942200795
Name:DORAZIO, CARA (AUDIOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:
Last Name:DORAZIO
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1131 BROAD ST
Mailing Address - Street 2:STE 103
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4329
Mailing Address - Country:US
Mailing Address - Phone:732-389-3388
Mailing Address - Fax:732-389-3389
Practice Address - Street 1:1131 BROAD ST
Practice Address - Street 2:STE 103
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4329
Practice Address - Country:US
Practice Address - Phone:732-389-3388
Practice Address - Fax:732-389-3389
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000377231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist