Basic Information
| Provider Information | |||||||||
| NPI: | 1821243247 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAZPOVOV | ||||||||
| FirstName: | MARGARITA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1941 LIMESTONE RD | ||||||||
| Address2: | STE 210 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198085408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029980300 | ||||||||
| FaxNumber: | 3029985111 | ||||||||
| Practice Location | |||||||||
| Address1: | 1941 LIMESTONE RD | ||||||||
| Address2: | STE 210 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198085408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029980300 | ||||||||
| FaxNumber: | 3029985111 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2008 | ||||||||
| LastUpdateDate: | 11/26/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 030000184 | DE | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.