Healthcare Provider Details

I. General information

NPI: 1720337595
Provider Name (Legal Business Name): PARKVILLE HEARING AID CTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2012
Last Update Date: 09/07/2012
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:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: HOWE NEIL RUDOW
Title or Position: PRESIDENT
Credential:
Phone: 410-444-4420