Provider Demographics
NPI:1215182480
Name:HARVARD PARK HEARING CENTER
Entity Type:Organization
Organization Name:HARVARD PARK HEARING CENTER
Other - Org Name:ASSOCIATES OF OTOLARYNGOLOGY, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-607-4135
Mailing Address - Street 1:850 E HARVARD AVE
Mailing Address - Street 2:STE., #525
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5073
Mailing Address - Country:US
Mailing Address - Phone:303-777-4327
Mailing Address - Fax:303-744-1154
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:STE., #525
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5073
Practice Address - Country:US
Practice Address - Phone:303-777-4327
Practice Address - Fax:303-744-1154
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSOCIATES OF OTOLARYNGOLOGY, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-01
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty