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NPI Code Detail

MEDICARE: DR. MOIRA BELL A.U.D, CCC-A

MEDICARE: DR. MOIRA BELL A.U.D, CCC-A
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
1231H00000XAudiologist000263CT

General Provider Information

NPI Number : 1790947042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOIRA BELL A.U.D, CCC-A
Provider Business Mailing Address
First Line : 31 BROADWAY
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-2304
Country : US
Telephone Number : 203-234-1324
Fax Number : 203-234-1611
Provider Business Practice Location Address
First Line : 31 BROADWAY
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-2304
Country : US
Telephone Number : 203-234-1324
Fax Number : 203-234-1611
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2008
Last Update Date : 06/27/2008

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