Healthcare Provider Details
I. General information
NPI: 1568188530
Provider Name (Legal Business Name): HEAR CARE OF NEW ENGLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/12/2022
Last Update Date: 05/12/2023
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
166 VALLEY ST BLDG 6M
PROVIDENCE RI
02909-2400
US
IV. Provider business mailing address
126 PROSPECT ST STE 105
PAWTUCKET RI
02860-4429
US
V. Phone/Fax
- Phone: 401-203-7366
- Fax: 401-414-0791
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CURDICIA
GILBERT
Title or Position: OWNER
Credential: AUD
Phone: 860-595-8314