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Organization

NORTHERN VIRGINIA HEARING AID LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MELLIS M.D. (CEO)
(703) 483-3610
Entity
Organization

Contact information

Practice address
1860 TOWN CENTER DR, SUITE 225, RESTON, VA 20190-5896
(703) 483-3610
(703) 483-3616
Mailing address
1860 TOWN CENTER DR, SUITE 225, RESTON, VA 20190-5896
(703) 483-3610
(703) 483-3616

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
0101042579
VA

Other

Enumeration date
03/04/2015
Last updated
03/04/2015
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