Organization
NORTH SHORE HEARING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J ELIA MA (OWNER)
(978) 462-9628
Entity
Organization
Contact information
Practice address
192 MERRIMACK ST, HAVERHILL, MA 01830-6128
(978) 372-1939
Mailing address
192 MERRIMACK ST, HAVERHILL, MA 01830-6128
(978) 372-1939
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
24W
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028931
NEIGHBORHOOD HEALTH PLAN
MA
01
—
696651
TUFT'SHEALTH PLAN
MA
05
—
9727469
—
MA
01
—
AG0021
BLUE CROSS BLUE SHEILD
MA
01
—
VC6000170931
MA COMMISSION OF THE BLIN
MA
Enumeration date
01/26/2007
Last updated
08/22/2020
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