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 |