Provider Demographics
NPI:1083906465
Name:WASHINGTON EAR, NOSE AND THROAT, LLC
Entity Type:Organization
Organization Name:WASHINGTON EAR, NOSE AND THROAT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAJDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-225-8995
Mailing Address - Street 1:80 LANDINGS DR STE 207
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-9408
Mailing Address - Country:US
Mailing Address - Phone:724-225-8995
Mailing Address - Fax:724-225-9874
Practice Address - Street 1:80 LANDINGS DR STE 207
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9408
Practice Address - Country:US
Practice Address - Phone:724-225-8995
Practice Address - Fax:724-225-9874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00808332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment