Organization
QUALITY HEARING AID SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SIDNEY GROLNIC AU.D. CCC-A (OWNER)
(508) 875-9773
Entity
Organization
Contact information
Practice address
664 WAVERLY ST, FRAMINGHAM, MA 01702-8554
(508) 875-9773
(781) 986-8721
Mailing address
12 QUILL CIR, RANDOLPH, MA 02368-2959
(508) 875-9773
(781) 986-8721
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
96
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028331F
—
MD
Enumeration date
07/01/2014
Last updated
07/01/2014
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