Healthcare Provider Details

I. General information

NPI: 1356841068
Provider Name (Legal Business Name): HAD MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 OLD CHAIN BRIDGE RD STE 185
MC LEAN VA
22101-3945
US

IV. Provider business mailing address

1320 OLD CHAIN BRIDGE RD STE 185
MC LEAN VA
22101-3945
US

V. Phone/Fax

Practice location:
  • Phone: 703-942-8110
  • Fax: 703-942-8042
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANA ANZOLA
Title or Position: AUDIOLOGIST / OWNER
Credential: CCC-A, FAAA, ABA
Phone: 703-942-8110