Provider Demographics
NPI:1174814990
Name:SCIABARRASI, JAMES ANTHONY SR
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ANTHONY
Last Name:SCIABARRASI
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106 CUNNING CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-1251
Mailing Address - Country:US
Mailing Address - Phone:410-382-1772
Mailing Address - Fax:410-931-0973
Practice Address - Street 1:658 BEL AIR ROAD
Practice Address - Street 2:HARFORD MALL-SEARS BUILDING
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4223
Practice Address - Country:US
Practice Address - Phone:410-420-1588
Practice Address - Fax:410-420-1156
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02476237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist