Organization
A.D.H. ENTERTPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DAVID HAGEDORN BC-HIS (OWNER/HEARING INSTRUMENT SPECIALIST)
(410) 553-9310
Entity
Organization
Contact information
Practice address
7678 QUARTERFIELD RD, SUITE 202, GLEN BURNIE, MD 21061-7069
(410) 553-9310
(410) 553-0872
Mailing address
7678 QUARTERFIELD RD, SUITE 202, GLEN BURNIE, MD 21061-7069
(410) 553-9310
(410) 553-0872
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
HAD1549
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L352AD
BLUE CROSS BLUE SHIELD
MD
Enumeration date
10/30/2009
Last updated
11/13/2015
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