Individual
MR. LARRY JAY DENENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC A
Contact information
Practice address
500 OLD YORK RD, STE 104, JENKINTOWN, PA 19046
(215) 886-2268
(215) 886-6016
Mailing address
500 OLD YORK RD, STE 104, JENKINTOWN, PA 19046
(215) 886-2268
(215) 886-6016
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000357L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0928241
AETNA
—
Enumeration date
10/26/2006
Last updated
03/22/2010
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