Individual
ELAINE RACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-HIS
Contact information
Practice address
69 SAND PIT RD, DANBURY, CT 06810-4004
(203) 791-2020
(203) 778-6238
Mailing address
3 ROME LN, OXFORD, CT 06478-6114
(203) 888-7803
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000384
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060945561
FED TAX ID
CT
Enumeration date
06/14/2007
Last updated
07/22/2013
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