| |
11 Chestnut St, Suite 6, Andover, MA 01810-3744 | |
(978) 470-4500 | |
(978) 470-0110 |
Full Name | |
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Type | Facility |
Speciality | Hearing Aid Equipment |
Location | 11 Chestnut St, Andover, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083878094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | 428 (Massachusetts) | Secondary |
332S00000X | Hearing Aid Equipment | 428 (Massachusetts) | Primary |
Provider Name | Wendy J Ring |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1841320520 PECOS PAC ID: 9537190996 Enrollment ID: I20050825000223 |
Provider Name | Christine A Donigian Tisbert |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1568584472 PECOS PAC ID: 9537224597 Enrollment ID: I20090209000291 |
Mailing Address | Practice Location Address |
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11 Chestnut St, Suite 6, Andover, MA 01810-3744 Ph: (978) 470-4500 | 11 Chestnut St, Suite 6, Andover, MA 01810-3744 Ph: (978) 470-4500 |