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Organization
MOBILE AUDIOLOGY ASSOCIATES, P.C.
Active
Organization
MOBILE AUDIOLOGY ASSOCIATES, P.C.
Active
Other names
HealthDrive Audiology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA L. TASSE AUD (OWNER/PRESIDENT)
(617) 964-6681
Entity
Organization
Contact information
Practice address
200 S EXECUTIVE DR, SUITE 101, BROOKFIELD, WI 53005-4216
(414) 535-8134
(414) 535-8135
Mailing address
100 CROSSING BLVD, SUITE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41173200
—
WI
01
—
CI6118
MEDICARE RAILROAD
WI
Enumeration date
07/05/2006
Last updated
01/02/2020
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