| NPI | 1326618448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE ADOLPH Credentialing Coordinator 410-688-9753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-11-02 |