Individual
TAD JONIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
62 AUBURN ST, AUBURN, MA 01501-2458
(508) 721-9051
(508) 721-9053
Mailing address
173 LAKE SHORE DR, WAYLAND, MA 01778-4017
(508) 721-9051
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531221
—
MA
Enumeration date
03/03/2008
Last updated
03/03/2008
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