Provider Demographics
NPI:1588544423
Name:WHARTON, ANGELA JORDAN
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:JORDAN
Last Name:WHARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 E OAK RIDGE DRIVE
Mailing Address - Street 2:SUITE 1850
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:301-582-6200
Mailing Address - Fax:
Practice Address - Street 1:222 E OAK RIDGE DR STE 1850
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-7880
Practice Address - Country:US
Practice Address - Phone:301-582-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02973237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist