NPI 1003077405

Peter C Fan, AUDIOLOGISTAUD

Practitioner Audiologist Old Bridge, NJ

Practice location

Address: 200 Perrine Rd STE 210, Old Bridge, NJ 08857-2836
Phone: (914) 333-5801

Registered specialties (2)

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 41YA00099800 (NJ)

Other Audiologist providers in New Jersey →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X

Registry record

NPI: 1003077405
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2008
Record last updated: 31 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.