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NPI Code Detail

MEDICARE: RED HAT AUDIOLOGY, INC.

MEDICARE: RED HAT AUDIOLOGY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter00382MD

General Provider Information

NPI Number : 1174765606
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED HAT AUDIOLOGY, INC.
Provider Business Mailing Address
First Line : 3836 INTERNATIONAL DR
Second Line : LEISURE WORLD PLAZA
City : SILVER SPRING
State : MD
Zip : 20906-1548
Country : US
Telephone Number : 301-438-3280
Fax Number : 301-438-3282
Provider Business Practice Location Address
First Line : 3836 INTERNATIONAL DR
Second Line : LEISURE WORLD PLAZA
City : SILVER SPRING
State : MD
Zip : 20906-1548
Country : US
Telephone Number : 301-438-3280
Fax Number : 301-438-3282
Authorized Official
Title or Position : AUDIOLOGIST/OWNER
Name : DR. GWYNETH WAGNER NEWCOMB
Credential : AU.D.
Telephone Number : 301-438-3280
Provider Enumeration Date : 03/30/2009
Last Update Date : 03/30/2009

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Directions to “RED HAT AUDIOLOGY, INC. ” Practice Location

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