Organization
WILMINGTON AUDIOLOGY SERVIVCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L. MEDFORD, JR. M.D. (OWNER)
(302) 654-1011
Entity
Organization
Contact information
Practice address
2300 PENNSYLVANIA AVE, SUITE 1-C, WILMINGTON, DE 19806-1392
(302) 654-1011
Mailing address
2300 PENNSYLVANIA AVE, SUITE 1-C, WILMINGTON, DE 19806-1392
(302) 654-1011
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1989026866
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000207702
DIAMOND STATE PARTNERS
DE
05
—
0000207702
—
DE
01
—
127565
UNITED HEALTHCARE
DE
01
—
1598607
AMERIHEALTH ADMINISTRATOR
DE
01
—
2277668000
AMERIHEALTH HMO
DE
01
—
55423
AETNA US HEALTHCARE
DE
01
—
CJ8164
PALMETTO GBA
DE
Enumeration date
07/06/2006
Last updated
04/02/2009
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