# NORTH BAY ENT & AUDIOLOGY GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326618448
- **Authorized official:** JANELLE ADOLPH (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (410) 688-9753

## Contact information

- **Practice address:** 520 UPPER CHESAPEAKE DR STE 206, BEL AIR, MD 21014-4360
- **Practice address phone:** (410) 879-9100
- **Practice address fax:** (410) 638-0408
- **Mailing address:** 520 UPPER CHESAPEAKE DR STE 206, BEL AIR, MD 21014-4360
- **Mailing address phone:** (410) 879-9100
- **Mailing address fax:** (410) 638-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 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