Organization
NORTHEAST HEARING LLC
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON FRASIER (HEARING INSTRUMENT SPECIALIST)
(860) 444-0750
Entity
Organization
Contact information
Practice address
909 HARTFORD TPKE STE D3, WATERFORD, CT 06385-4267
(860) 444-0750
(860) 444-7961
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
000403
CT
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
01/12/2021
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