Healthcare Provider Details

I. General information

NPI: 1619212875
Provider Name (Legal Business Name): RAMONA BERTRAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2012
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 RT 6A STE 1
ORLEANS MA
02653-3240
US

IV. Provider business mailing address

7 COLBURNE PATH
WEST YARMOUTH MA
02673-1502
US

V. Phone/Fax

Practice location:
  • Phone: 774-810-2264
  • Fax:
Mailing address:
  • Phone: 508-287-0802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number199
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: