| Mrs Dolores R Boisselle, AUD | |
|
One Broadway, Suite 302, Elmwood Park, NJ 07407 | |
| (201) 773-8962 | |
| (201) 773-8963 |
| Full Name | Mrs Dolores R Boisselle |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 40 Years |
| Location | One Broadway, Elmwood Park, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851535934 | NPI | - | NPPES |
| 0974382 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 41YA00011400 (New Jersey) | Secondary |
| 231H00000X | Audiologist | 41YA00011400 (* (Not Available)) | Primary |
| Provider Name | Audslp Diagnostic And Rehabilitation Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891092755 PECOS PAC ID: 4587833264 Enrollment ID: O20110815000434 |
| Provider Name | Nj Audiology Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184357683 PECOS PAC ID: 2769865476 Enrollment ID: O20220812002314 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dolores R Boisselle, AUD One Broadway, Suite 302, Elmwood Park, NJ 07407 Ph: (201) 773-8962 | Mrs Dolores R Boisselle, AUD One Broadway, Suite 302, Elmwood Park, NJ 07407 Ph: (201) 773-8962 |
Audslp Diagnostic And Rehabilitation Clinic Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Broadway Ste 302, Elmwood Park, NJ 07407 Phone: 201-773-8962 Fax: 201-773-8963 | |
Bomee Kim, Audiologist Medicare: Medicare Enrolled Practice Location: 1 Broadway Ste 302, Elmwood Park, NJ 07407 Phone: 201-773-8962 Fax: 201-773-8963 |