Healthcare Provider Details
I. General information
NPI: 1497206668
Provider Name (Legal Business Name): A&A HEARING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2016
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2525 RIVA RD STE 102
ANNAPOLIS MD
21401-7411
US
IV. Provider business mailing address
19110 MONTGOMERY VILLAGE AVE STE 120
MONTGOMERY VILLAGE MD
20886-3702
US
V. Phone/Fax
- Phone: 888-432-7505
- Fax:
- Phone: 301-977-6317
- Fax: 301-977-8503
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROSS
CUSHING
Title or Position: OWNER
Credential: AU.D.
Phone: 301-358-1833