Organization
MASS AUDIOLOGY & HEARING SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FELLMAN AUD (OWNER)
(508) 583-5800
Entity
Organization
Contact information
Practice address
165 WESTGATE DRIVE, BROCKTON, MA 02301
(508) 583-5800
(508) 580-3152
Mailing address
165 WESTGATE DRIVE, BROCKTON, MA 02301
(508) 583-5800
(508) 580-3152
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000036767
BMC HEALTHNET
MA
01
—
014566
BLUE CROSS
MA
01
—
805516
TUFTS
MA
01
—
809343
HARVARD PILGRIM
ME
05
—
9774416
—
MA
Enumeration date
04/12/2007
Last updated
08/22/2020
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