MEDICARE: TRU-TONE HEARING AID CENTER, INC

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
1	231H00000X	Audiologist	AT000066L	PA
2	237600000X	Audiologist-Hearing Aid Fitter	AT000066L	PA
3	332BC3200X	Customized Equipment (DME)	580	PA
4	332B00000X	Durable Medical Equipment & Medical Supplies	580	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1558423897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU-TONE HEARING AID CENTER, INC

Provider Business Mailing Address
First Line	:	2032 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1119
Country	:	US
Telephone Number	:	215-742-7767
Fax Number	:	215-742-6811

Provider Business Practice Location Address
First Line	:	2304 E ALLEGHENY AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-4401
Country	:	US
Telephone Number	:	215-742-7767
Fax Number	:	215-742-6811

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MS. MARY MCKENNA
Credential	:
Telephone Number	:	215-742-7767

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	08/19/2014

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Directions to “TRU-TONE HEARING AID CENTER, INC ” Practice Location

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