# SUBURBAN AUDIOLOGY AND BALANCE CENTER, LLC

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

## Provider details

- **NPI number:** 1487805230
- **Authorized official:** DR. ANDREW ALEXANDER MACIELINSKI AU.D. (AUDIOLOGIST/OWNER)
- **Authorized official phone:** (610) 647-3710

## Contact information

- **Practice address:** 11 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1632
- **Practice address phone:** (610) 647-3710
- **Practice address fax:** (610) 647-6851
- **Mailing address:** 11 INDUSTRIAL BLVD, SUITE 102, PAOLI, PA 19301-1632
- **Mailing address phone:** (610) 647-3710
- **Mailing address fax:** (610) 647-6851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AT001014L | PA | Yes |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 02/05/2010