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223 Monmouth Rd Ste 1a, West Long Branch, NJ 07764-1024 | |
| (732) 229-4089 | |
| (732) 229-3150 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 223 Monmouth Rd Ste 1a, West Long Branch, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063048734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Shelley S Hamilton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902042914 PECOS PAC ID: 0244267581 Enrollment ID: I20050719000733 |
| Provider Name | Tara Mango |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063143469 PECOS PAC ID: 7911389655 Enrollment ID: I20220728000158 |
| Mailing Address | Practice Location Address |
|---|---|
223 Monmouth Rd Ste 1a, West Long Branch, NJ 07764-1024 Ph: (732) 229-4089 | 223 Monmouth Rd Ste 1a, West Long Branch, NJ 07764-1024 Ph: (732) 229-4089 |
Dr. Tara Mango, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 223 Monmouth Rd Ste 1a, West Long Branch, NJ 07764 Phone: 732-229-4089 Fax: 732-229-3150 | |
Dr. Sandra Fields Kuhn, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 223 Monmouth Rd, West Long Branch, NJ 07764 Phone: 732-229-4089 Fax: 732-229-3150 |