Healthcare Provider Details

I. General information

NPI: 1891014288
Provider Name (Legal Business Name): MICHAEL N SPECTOR HEARING AID FITTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6338 RISING SUN AVE
PHILADELPHIA PA
19111
US

IV. Provider business mailing address

6338 RISING SUN AVE
PHILADELPHIA PA
19111
US

V. Phone/Fax

Practice location:
  • Phone: 215-745-5000
  • Fax: 215-722-3131
Mailing address:
  • Phone: 215-745-5000
  • Fax: 215-722-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberF2135
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: