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Organization

PROFESSIONAL AUDIOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERICA L REGAN AUD (OWNER)
(603) 436-8668
Entity
Organization

Contact information

Practice address
330 BORTHWICK AVE, SUITE 209, PORTSMOUTH, NH 03801-4174
(603) 436-8668
(603) 436-4499
Mailing address
330 BORTHWICK AVE, SUITE 209, PORTSMOUTH, NH 03801-4174
(603) 436-8668
(603) 436-4499

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80648803
NH
Enumeration date
11/09/2012
Last updated
04/16/2015
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