MEDICARE: HALIE ELISABETH PAPERNO AU.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	919	MA

General Provider Information

NPI Number	:	1225361819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALIE ELISABETH PAPERNO AU.D

Provider Business Mailing Address
First Line	:	48 DUNHAM RIDGE RD., SUITE 3400
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-3877
Country	:	US
Telephone Number	:	978-922-1888
Fax Number	:	978-499-8200

Provider Business Practice Location Address
First Line	:	48 DUNHAM RIDGE RD., SUITE 3400
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-0191
Country	:	US
Telephone Number	:	978-922-1888
Fax Number	:	978-499-8200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	02/15/2021

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