Healthcare Provider Details

I. General information

NPI: 1104240712
Provider Name (Legal Business Name): NEW ENGLAND HEARING AND BALANCE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 PARK AVE
WORCESTER MA
01605-3911
US

IV. Provider business mailing address

24 PARK AVE
WORCESTER MA
01605-3911
US

V. Phone/Fax

Practice location:
  • Phone: 508-753-8155
  • Fax:
Mailing address:
  • Phone: 508-753-8155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number890
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number66
License Number StateMA

VIII. Authorized Official

Name: LAURA DARROW
Title or Position: CFO
Credential:
Phone: 978-235-5515