Organization
INTEGRATED FAMILY HEARING, LLC
Active
Other names
Petruso Audiology of Courdersport, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W PETRUSO II AU.D. (OWNER)
(814) 720-1692
Entity
Organization
Contact information
Practice address
536 E 2ND ST, COUDERSPORT, PA 16915-9438
(814) 274-9097
(814) 274-0464
Mailing address
536 E 2ND ST, COUDERSPORT, PA 16915-9438
(814) 274-9097
(814) 274-0464
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
01/05/2015
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