Individual
DR. JARETH ISAIAH BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
2331 YORK RD STE 102, LUTHERVILLE TIMONIUM, MD 21093-2246
(410) 816-9660
(410) 397-5209
Mailing address
4424 WALNUT RD, HALETHORPE, MD 21227-3504
(915) 471-1547
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01606
MD
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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