| NPI | 1770049074 |
|---|---|
| Doing Business As | COASTAL HEARNG CLINIC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA G CONNOLLY Owner/Provider 774-413-5023 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |