Olivia C. Van Wagner MA

NPI 1861643314 - Audiologist-Hearing Aid Fitter - 237600000X

NPI Details
NPI 1861643314
Gender Female
Enumeration Date 10/02/2008
Last Updated 11/11/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3131 PRINCETON PIKE
BLDG. 5, SUITE 100
LAWRENCEVILLE NJ, 08648-2201, US
Phone (609) 844-9661
Fax (609) 844-9664
Business Location
3131 PRINCETON PIKE
BLDG. 5, SUITE 100
LAWRENCEVILLE NJ, 08648-2201, US
Phone (609) 844-9661
Fax (609) 844-9664
Toxanomy
Taxonomy Code 237600000X
License State New Jersey
License Number 25MG000646000
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According to our database, Ms. Olivia C. Van Wagner MA NPI is 1861643314, taxonomy code is 237600000X and license number is 25MG000646000, license state is located at New Jersey. Olivia C. Van Wagner MA physically located at 3131 Princeton Pike, Lawrenceville NJ, 08648-2201. NPI Number Olivia C. Van Wagner MA has the Individual type.

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1861643314 NPI number is provided on an as is basis without warranty of any kind. 1861643314 is maintained by the National Plan & Provider Enumeration System. The contents of Olivia C. Van Wagner MA are for informational purposes only.