Organization
ADAM DIPUCCIO L.L.C.
Active
Other names
Advanced Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM DIPUCCIO C.C.C.-A.F.A.A.A. (OWNER)
(480) 218-1328
Entity
Organization
Contact information
Practice address
5202 E. MAIN STREET, SUITE #105, MESA, AZ 85205-8038
(480) 218-1328
(480) 218-1330
Mailing address
5202 E. MAIN STREET, SUITE #105, MESA, AZ 85205-8038
(480) 218-1328
(480) 218-1330
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA2043
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881708261
GROUP NPI
AZ
05
—
894164
—
AZ
Enumeration date
08/19/2006
Last updated
09/10/2012
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