| NPI | 1063034759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY SRIVASTAVA President 410-205-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 231H00000X Audiologist |
| 231HA2400X Audiologist Assistive Technology Practitioner | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2021-02-01 |