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Organization
NORTH BAY ENT & AUDIOLOGY GROUP LLC
Active
Organization
NORTH BAY ENT & AUDIOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE ADOLPH (CREDENTIALING COORDINATOR)
(410) 688-9753
Entity
Organization
Contact information
Practice address
520 UPPER CHESAPEAKE DR STE 206, BEL AIR, MD 21014-4360
(410) 879-9100
(410) 638-0408
Mailing address
520 UPPER CHESAPEAKE DR STE 206, BEL AIR, MD 21014-4360
(410) 879-9100
(410) 638-0408
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
NULL
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
06/30/2021
Last updated
11/02/2023
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