Provider Demographics
NPI:1861859605
Name:JASTREBOFF HEARING DISORDERS FOUNDATION, INC.
Entity Type:Organization
Organization Name:JASTREBOFF HEARING DISORDERS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:JASTREBOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-461-8191
Mailing Address - Street 1:4725 DORSEY HALL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-7713
Mailing Address - Country:US
Mailing Address - Phone:410-461-8191
Mailing Address - Fax:443-218-4007
Practice Address - Street 1:5550 STERRETT PL
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2611
Practice Address - Country:US
Practice Address - Phone:443-218-4004
Practice Address - Fax:443-218-4007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or Charitable
No1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty