Provider Demographics
NPI:1386834208
Name:AUDIOLOGY & HEARING AID ASSOCIATES LLC
Entity Type:Organization
Organization Name:AUDIOLOGY & HEARING AID ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:CANO
Authorized Official - Last Name:BUTERA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:215-295-7126
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-0046
Mailing Address - Country:US
Mailing Address - Phone:215-295-7126
Mailing Address - Fax:215-295-1403
Practice Address - Street 1:900 W TRENTON AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-3571
Practice Address - Country:US
Practice Address - Phone:215-295-7126
Practice Address - Fax:215-295-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2835310000OtherINDEPENDENCE BLUE CROSS B