MEDICARE: DAVID BARWELL MA AUDIOLOGY

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	00069	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54693002	OTHER	DC	CAREFIRST DC
2	1670636001	OTHER		CIGNA
3	52970013	OTHER	MD	CAREFIRST MD

General Provider Information

NPI Number	:	1649246000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BARWELL MA AUDIOLOGY

Provider Business Mailing Address
First Line	:	19231 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE D14
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-5023
Country	:	US
Telephone Number	:	301-840-5517
Fax Number	:	301-840-5518

Provider Business Practice Location Address
First Line	:	19231 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE D14
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-5023
Country	:	US
Telephone Number	:	301-840-5517
Fax Number	:	301-840-5518

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	11/10/2011

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Directions to “ DAVID BARWELL MA AUDIOLOGY” Practice Location

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