Individual
PETER GIFFIN OGILVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,CCC/A
Contact information
Practice address
4270 MAIN ST, BRIDGEPORT, CT 06606-2306
(203) 374-8900
Mailing address
4270 MAIN STREET, AA HEARING AID CENTER, BRIDGEPORT, CT 06606-2306
(203) 374-8900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000236
CT
231HA2400X
Assistive Technology Practitioner Audiologist
000236
CT
231HA2500X
Assistive Technology Supplier Audiologist
000236
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004014494
—
CT
Enumeration date
04/08/2009
Last updated
04/08/2009
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