MEDICARE: DR. CLAUDIA PASTORELLI AUD, CCC-A

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	237600000X	Audiologist-Hearing Aid Fitter	1601000544	MI
2	237600000X	Audiologist-Hearing Aid Fitter	01658	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1601000544	OTHER		AUDIOLOGIST LICENSE

General Provider Information

NPI Number	:	1811221120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIA PASTORELLI AUD, CCC-A

Provider Business Mailing Address
First Line	:	19110 MONTGOMERY VILLAGE AVE STE 120
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-3706
Country	:	US
Telephone Number	:	301-977-6317
Fax Number	:	301-977-8503

Provider Business Practice Location Address
First Line	:	19110 MONTGOMERY VILLAGE AVE STE 120
Second Line	:
City	:	MONTGOMERY VILLAGE
State	:	MD
Zip	:	20886-3706
Country	:	US
Telephone Number	:	301-977-6317
Fax Number	:	301-977-8503

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

Provider Enumeration Date	:	09/21/2009
Last Update Date	:	01/11/2024

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Directions to “ DR. CLAUDIA PASTORELLI AUD, CCC-A” Practice Location

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