Organization
WALTER WOLOSIANSKY
Active
Other names
Community Hearing Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER B WOLOSIANSKY MA CCC A (OWNER AUDIOLOGIST)
(330) 896-9119
Entity
Organization
Contact information
Practice address
4700 MASSILLON RD, NORTH CANTON, OH 44720-1166
(330) 896-9119
(330) 896-1185
Mailing address
PO BOX 667, GREEN, OH 44232-0667
(330) 896-9119
(330) 896-1185
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136008
ANTHEM BCBS
OH
01
—
062466314001
MEDICAL MUTUAL OF OHIO
OH
05
—
0793619
—
OH
01
—
7858279
AETNA
OH
Enumeration date
08/30/2006
Last updated
06/25/2008
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