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NPI Code Detail

MEDICARE: DR. WILLA C HOROWITZ AU.D., CCC-A, FAAA

MEDICARE:  DR. WILLA C HOROWITZ  AU.D., CCC-A, FAAA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter000127CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14899970OTHERCTGHI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396957163
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLA C HOROWITZ AU.D., CCC-A, FAAA
Provider Business Mailing Address
First Line : 130 MOUNT SANFORD ROAD
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1210
Country : US
Telephone Number : 203-640-2198
Fax Number :
Provider Business Practice Location Address
First Line : 130 MOUNT SANFORD ROAD
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1210
Country : US
Telephone Number : 203-640-2198
Fax Number : 203-287-9781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 09/21/2016

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Directions to “ DR. WILLA C HOROWITZ AU.D., CCC-A, FAAA” Practice Location

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