| NPI | 1124219811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE STONE Office Manager 508-678-4244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 4) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MA 24500) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: MA 4) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 4) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |