Organization
JMDLAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN OBERHOLTZER (MANAGER)
(717) 632-5558
Entity
Organization
Contact information
Practice address
600 CARLISLE ST STE A, HANOVER, PA 17331-5100
(717) 632-5558
Mailing address
600 CARLISLE ST STE A, HANOVER, PA 17331-5100
(717) 632-5558
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
DO1044
PA
332S00000X
Hearing Aid Equipment
Primary
DO1044
PA
Other
Enumeration date
02/02/2018
Last updated
09/22/2022
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