| NPI | 1699328245 |
|---|---|
| Other Name | ST. AGNES AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | SCOTT MATTHEW FURNISS Vice President/CFO 410-368-3130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |