Organization
ELDER AUDIO REHAB MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHALL EDWARD BLESOFSKY PA-C (PROVIDER/COO)
(562) 760-8823
Entity
Organization
Contact information
Practice address
4029 E ANAHEIM ST, LONG BEACH, CA 90804-4110
(562) 494-4421
(562) 494-2731
Mailing address
65 PINE AVE, SUITE 119, LONG BEACH, CA 90802-4718
(562) 760-8823
(562) 252-9505
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
363A00000X
Physician Assistant
Primary
FNP37597
CA
Other
Enumeration date
09/25/2008
Last updated
02/18/2011
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