Healthcare Provider Details

I. General information

NPI: 1417362419
Provider Name (Legal Business Name): DREXEL HILL HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2014
Last Update Date: 06/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 STATE RD
DREXEL HILL PA
19026-4728
US

IV. Provider business mailing address

4801 STATE RD
DREXEL HILL PA
19026-4728
US

V. Phone/Fax

Practice location:
  • Phone: 610-853-3350
  • Fax:
Mailing address:
  • Phone: 610-853-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF02439
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberF02439
License Number StatePA

VIII. Authorized Official

Name: MR. DAVID A EPSTEIN
Title or Position: OWNER
Credential: BA
Phone: 610-853-3350