Doctor Name: | MARKO KOROPECKYJ |
NPI Number: | 1750632063 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HAD |
License Number: | |
Business Practice Address: | 1005 N Point Blvd Ste. 705 Baltimore, MD - 212243415 |
Business Phone Number: | 4102887100 |
Business Fax Number: | 4102887102 |
Mailing Address: | 1005 N Point Blvd, Ste. 705 BALTIMORE |
State: | MD |
Postal Code: | 212243415 |
Phone Number: | 4102887100 |
Fax Number: | 4102887102 |
NPI Enumeration Date: | 09/26/2012 |
NPI Last Update Date: | 09/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |