MEDICARE: DELAWARE VALLEY HEARING AID SERVICES

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	332S00000X	Hearing Aid Equipment	D01073	PA

General Provider Information

NPI Number	:	1396189122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELAWARE VALLEY HEARING AID SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 686
Second Line	:
City	:	HORSHAM
State	:	PA
Zip	:	19044-0686
Country	:	US
Telephone Number	:	617-849-2144
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W GERMANTOWN PIKE
Second Line	:
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-1353
Country	:	US
Telephone Number	:	267-419-8522
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN BRANNIGAN
Credential	:
Telephone Number	:	267-419-8522

Provider Enumeration Date	:	04/23/2013
Last Update Date	:	07/26/2021

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