Provider Demographics
NPI:1720337595
Name:PARKVILLE HEARING AID CTR
Entity Type:Organization
Organization Name:PARKVILLE HEARING AID CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWE
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:RUDOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-444-4420
Mailing Address - Street 1:7601 HARFORD RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-6401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7601 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-6401
Practice Address - Country:US
Practice Address - Phone:410-444-4420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment