Healthcare Provider Details

I. General information

NPI: 1992925192
Provider Name (Legal Business Name): HOWE N RUDOW AUDIOLOGIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 HARFORD RD
BALTIMORE MD
21234-6401
US

IV. Provider business mailing address

7601 HARFORD RD
BALTIMORE MD
21234-6401
US

V. Phone/Fax

Practice location:
  • Phone: 410-444-4420
  • Fax: 410-444-2500
Mailing address:
  • Phone: 410-444-4420
  • Fax: 410-444-2500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number01573
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: