Provider Demographics
NPI:1750719035
Name:AUDNAV INC
Entity type:Organization
Organization Name:AUDNAV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:
Authorized Official - Last Name:BOISSELLE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:973-278-4382
Mailing Address - Street 1:680 BROADWAY
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1524
Mailing Address - Country:US
Mailing Address - Phone:973-278-4382
Mailing Address - Fax:973-225-0186
Practice Address - Street 1:680 BROADWAY
Practice Address - Street 2:SUITE 115
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1524
Practice Address - Country:US
Practice Address - Phone:973-278-4382
Practice Address - Fax:973-225-0186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00011400231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty