MEDICARE: ANNA MARIA CARUSO H.I.S

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
1	237700000X	Hearing Instrument Specialist	8221	CA

General Provider Information

NPI Number	:	1326513086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MARIA CARUSO H.I.S

Provider Business Mailing Address
First Line	:	2907 S EL CAMINO REAL
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-2730
Country	:	US
Telephone Number	:	650-627-6114
Fax Number	:	650-341-9090

Provider Business Practice Location Address
First Line	:	2907 S EL CAMINO REAL
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-2730
Country	:	US
Telephone Number	:	650-627-6114
Fax Number	:	650-341-9090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2018
Last Update Date	:	10/09/2018

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