Healthcare Provider Details

I. General information

NPI: 1508898107
Provider Name (Legal Business Name): WILMINGTON AUDIOLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PENNSYLVANIA AVE SUITE 1-C
WILMINGTON DE
19806-1392
US

IV. Provider business mailing address

2300 PENNSYLVANIA AVE STE 1C
WILMINGTON DE
19806-1333
US

V. Phone/Fax

Practice location:
  • Phone: 302-654-1011
  • Fax:
Mailing address:
  • Phone: 302-654-1011
  • Fax: 302-654-4313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1989026866
License Number StateDE

VIII. Authorized Official

Name: JAY D. LUFT
Title or Position: OWNER/ENT
Credential:
Phone: 302-654-1011