| NPI | 1225190564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MCKENNA General Manager 215-742-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA D00580-05) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT000066L) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT000066L) | |
| 237700000X Hearing Instrument Specialist (Licence: PA AT000066L) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PA D00580-05) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-08-20 |