NPI 1558088526 · live from the CMS NPI Registry
Diamond G Prus, Au.D.
Audiologist in Chestertown, MD. National Provider Identifier 1558088526, active.
NPI record
| NPI | 1558088526 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 500 Washington Ave, Chestertown, MD 21620 |
| Practice phone | 410-778-5170 |
| Mailing address | 624 King James Ct, Bear, DE 19701 |
| Enumerated | October 20, 2022 |
| Last updated | February 21, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | AT006858 (PA) |
| Audiologist primary | 231H00000X | 01617 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.