Healthcare Provider Details

I. General information

NPI: 1225345242
Provider Name (Legal Business Name): ERIN BETH FALKOWSKI AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN BETH PRITT AU.D.

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 02/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N GREENE ST (BT/101 A&SP)
BALTIMORE MD
21201-1524
US

IV. Provider business mailing address

10 N GREENE ST (BT/101 A&SP)
BALTIMORE MD
21201-1524
US

V. Phone/Fax

Practice location:
  • Phone: 410-605-7000
  • Fax: 410-605-7702
Mailing address:
  • Phone: 410-605-7000
  • Fax: 410-605-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01200
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: