Organization
EARMARK AUDIOLOGY
Active
Organization
EARMARK AUDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAY OTTO AU.D. (DOCTOR OF AUDIOLOGY)
14402551800
Entity
Organization
Contact information
Practice address
9485 MENTOR AVE, 200, MENTOR, OH 44060-4597
(440) 255-1800
(440) 255-2088
Mailing address
9485 MENTOR AVE, 200, MENTOR, OH 44060-4597
(440) 255-1800
(440) 255-2088
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A-01292
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2531077
—
OH
01
—
A-01292
UPIN
OH
Enumeration date
07/31/2007
Last updated
07/31/2007
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