Provider Demographics
NPI:1952729659
Name:GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:GOTLIEB HEARING CENTER LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EREZ
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTLIEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-703-6800
Mailing Address - Street 1:13-19 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1837
Mailing Address - Country:US
Mailing Address - Phone:201-703-6800
Mailing Address - Fax:201-703-6805
Practice Address - Street 1:13-19 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1837
Practice Address - Country:US
Practice Address - Phone:201-703-6800
Practice Address - Fax:201-703-6805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty