Organization
NORTHEAST HEARING LLC
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FRASIER (HEARING INSTRUMENT SPECIALIST)
(203) 795-4533
Entity
Organization
Contact information
Practice address
240 INDIAN RIVER RD, BLDG A, ORANGE, CT 06477-3649
(203) 795-4533
(203) 795-4534
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
420
CT
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
01/12/2021
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