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NPI Code Detail

MEDICARE: MR. RONALD TYE BC-HIS

MEDICARE: MR. RONALD TYE BC-HIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist01MA

General Provider Information

NPI Number : 1154526572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RONALD TYE BC-HIS
Provider Business Mailing Address
First Line : 101 BROADWAY RD
Second Line : UNIT 11
City : DRACUT
State : MA
Zip : 01826-4068
Country : US
Telephone Number : 978-452-4402
Fax Number : 978-452-3597
Provider Business Practice Location Address
First Line : 101 BROADWAY RD
Second Line : UNIT 11
City : DRACUT
State : MA
Zip : 01826-4068
Country : US
Telephone Number : 978-452-4402
Fax Number : 978-452-3597
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2007
Last Update Date : 07/08/2007

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