Basic Information
| Provider Information | |||||||||
| NPI: | 1992876098 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARCHETTI | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | FITTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 142 SEDECA DR | ||||||||
| Address2: | |||||||||
| City: | CANONSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 153176100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247461346 | ||||||||
| FaxNumber: | 4123433818 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 MOUNT LEBANON BLVD | ||||||||
| Address2: | SUITE 2220 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152341512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123433813 | ||||||||
| FaxNumber: | 4123433818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | F02258 | PA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.