| NPI | 1851822993 |
|---|---|
| Former Legal Business Name | BAYSTATE AUDIOLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | DARCY REPUCCI Audiologist/Owner 508-936-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MA 872) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2022-01-19 |