Healthcare Provider Details
I. General information
NPI: 1326489592
Provider Name (Legal Business Name): A&A HEARING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2013
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1700 KINGFISHER DR UNIT 27
FREDERICK MD
21701-4775
US
IV. Provider business mailing address
1700 KINGFISHER DR STE 27
FREDERICK MD
21701-4771
US
V. Phone/Fax
- Phone: 301-846-0222
- Fax: 301-846-7707
- Phone: 301-846-0222
- Fax: 301-846-7707
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
E
CUSHING
Title or Position: SOLE MEMBER
Credential: AU.D.
Phone: 301-358-1833