Organization
EDBAR CORP.
Active
Other names
Avada Hearing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P BARTOLUCCI ACA, BC-HIS (REGIONAL DIRECTOR)
(413) 733-3196
Entity
Organization
Contact information
Practice address
459 RIVERDALE ST, WEST SPRINGFIELD, MA 01089-4605
(413) 733-3196
(413) 736-1037
Mailing address
459 RIVERDALE ST, WEST SPRINGFIELD, MA 01089-4605
(413) 733-3196
(413) 736-1037
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
82
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521276
—
MA
Enumeration date
03/06/2007
Last updated
08/22/2020
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