Provider Demographics
NPI:1750621553
Name:GENERAL HEARING
Entity type:Organization
Organization Name:GENERAL HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DELLAGHELFA
Authorized Official - Suffix:
Authorized Official - Credentials:HIS 385
Authorized Official - Phone:203-754-1338
Mailing Address - Street 1:144 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-4045
Mailing Address - Country:US
Mailing Address - Phone:203-754-1338
Mailing Address - Fax:203-754-1338
Practice Address - Street 1:144 FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-4045
Practice Address - Country:US
Practice Address - Phone:203-754-1338
Practice Address - Fax:203-754-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT385237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty