Port Tack, Llc.
NPI #1417358557 in Lakewood, New Jersey
Provider Information
- NPI Number
- 1417358557
- Entity Type
- Organization
- Organization Name
- Port Tack, Llc.
- Primary Specialty
- Hearing Aid Equipment
- Enumeration Date
- Sep 9, 2014
- Last Updated
- Sep 9, 2014
Practice Location
- Address
- 1195 ROUTE 70
- Address 2
- UNIT 1007
- City
- Lakewood
- State
- New Jersey
- ZIP Code
- 08701-5946
- Phone
- (732) 994-7550
Authorized Official
- Name
- JAY LUTZ
- Title
- OWNER
- Phone
- (281) 787-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hearing Aid Equipment |
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