Healthcare Provider Details

I. General information

NPI: 1093072076
Provider Name (Legal Business Name): NEW ENGLAND CENTER FOR HEARING REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 04/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 HARTFORD TPKE
HAMPTON CT
06247-1320
US

IV. Provider business mailing address

354 HARTFORD TURNPIKE
HAMPTON CT
06247
US

V. Phone/Fax

Practice location:
  • Phone: 860-455-1404
  • Fax:
Mailing address:
  • Phone: 860-455-1404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DEB RABIDEAU
Title or Position: ASSISTANT
Credential:
Phone: 860-455-1404