Organization
NORTHEAST HEARING LLC
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FRASIER (HEARING INSTRUMENT SPECIALIST)
(203) 597-8420
Entity
Organization
Contact information
Practice address
160 KUKAS LN, UNIT 3, WATERBURY, CT 06705-2624
(203) 597-8420
(203) 597-1930
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(401) 353-4174
(401) 488-5774
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
411
CT
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
08/19/2009
Last updated
01/12/2021
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