Organization
MOBILE AUDIOLOGY ASSOCIATES, P.C.
Active
Other names
HealthDrive Audiology Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA L. TASSE AUD (OWNER/PRESIDENT)
(617) 964-6681
Entity
Organization
Contact information
Practice address
101 CENTERPOINT DR STE 215, MIDDLETOWN, CT 06457-7568
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD, SUITE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004162153
—
CT
01
—
CI4372
MEDICARE RAILROAD
CT
Enumeration date
07/05/2006
Last updated
12/31/2019
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