Healthcare Provider Details

I. General information

NPI: 1235282070
Provider Name (Legal Business Name): MEDICAL ARTS HEARING INSTRUMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 WEST ST
LEOMINSTER MA
01453-5654
US

IV. Provider business mailing address

52 WEST ST
LEOMINSTER MA
01453-5654
US

V. Phone/Fax

Practice location:
  • Phone: 978-534-4994
  • Fax: 978-466-6603
Mailing address:
  • Phone: 978-534-4994
  • Fax: 978-466-6603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHE 62-1
License Number StateMA

VIII. Authorized Official

Name: MR. ANTHONY A WASIUK
Title or Position: PRESIDENT
Credential:
Phone: 978-534-4994