Organization
ADVANCED MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY SRIVASTAVA (PRESIDENT)
(410) 205-4911
Entity
Organization
Contact information
Practice address
5430 CAMPBELL BLVD STE 215, WHITE MARSH, MD 21162-5504
(877) 361-0100
(443) 283-8426
Mailing address
6801 OAK HALL LN UNIT 293, COLUMBIA, MD 21045-7512
(205) 255-4911
(866) 236-7933
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
231HA2400X
Assistive Technology Practitioner Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
02/01/2021
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