Provider Demographics
NPI:1801206867
Name:AUDIOLOGY CENTER OF YARDLEY LLC
Entity Type:Organization
Organization Name:AUDIOLOGY CENTER OF YARDLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:GROZALIS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:215-321-2337
Mailing Address - Street 1:680 HEACOCK RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6346
Mailing Address - Country:US
Mailing Address - Phone:215-321-2337
Mailing Address - Fax:215-321-2339
Practice Address - Street 1:680 HEACOCK RD
Practice Address - Street 2:SUITE 203
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-6346
Practice Address - Country:US
Practice Address - Phone:215-321-2337
Practice Address - Fax:215-321-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment