| NPI | 1952672339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TODD FAVINGER Audiologist 302-934-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: DE 02-0000122) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-19 |