Organization
HEARING SPECIALTY GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. WILSON M.S., FAAA, CCC-A (PRESIDENT)
(410) 590-9462
Entity
Organization
Contact information
Practice address
8028 RITCHIE HWY, STE 311, PASADENA, MD 21122-1360
(410) 590-9462
(410) 590-9464
Mailing address
8028 RITCHIE HWY, STE 311, PASADENA, MD 21122-1360
(410) 590-9462
(410) 590-9464
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00658
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413159200
—
MD
01
—
8632
CAREFIRST DC GROUP#
MD
01
—
86RVHE
CAREFIRST MARYLAND GROUP #
MD
Enumeration date
09/21/2006
Last updated
07/25/2008
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