Organization
PROVIDENCE HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ROSEN MA CCCA (AUDIOLOGIST)
(610) 874-5366
Entity
Organization
Contact information
Practice address
2112 PROVIDENCE AVE, CHESTER, PA 19013
(610) 874-5366
(610) 874-8448
Mailing address
2112 PROVIDENCE AVE, CHESTER, PA 19013
(610) 874-5366
(610) 874-8448
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
D00273
PA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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