Provider Demographics
NPI:1740721166
Name:HEARING HEALTH PA LLC
Entity type:Organization
Organization Name:HEARING HEALTH PA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-588-7266
Mailing Address - Street 1:4 CORNWALL DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3332
Mailing Address - Country:US
Mailing Address - Phone:732-234-9911
Mailing Address - Fax:732-955-9100
Practice Address - Street 1:4 CORNWALL DR
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3332
Practice Address - Country:US
Practice Address - Phone:732-234-9911
Practice Address - Fax:732-955-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-18
Last Update Date:2017-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty