| |
123 Progress Drive, Wethersfield, CT 06109-2450 | |
(860) 529-4260 | |
(860) 257-8500 |
Full Name | |
---|---|
Type | Facility |
Speciality | Hearing Aid Equipment |
Location | 123 Progress Drive, Wethersfield, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649523952 | NPI | - | NPPES |
008044922 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 00199 (Connecticut) | Secondary |
332S00000X | Hearing Aid Equipment | 00199 (Connecticut) | Primary |
Mailing Address | Practice Location Address |
---|---|
123 Progress Drive, Wethersfield, CT 06109-2450 Ph: (860) 529-4260 | 123 Progress Drive, Wethersfield, CT 06109-2450 Ph: (860) 529-4260 |