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Organization

GREYLOCK AUDIOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW JOSEPH PUTTICK AU.D. (AUDIOLOGIST/OWNER)
(413) 443-4800
Entity
Organization

Contact information

Practice address
510 NORTH ST, SUITE 9, PITTSFIELD, MA 01201-5493
(413) 443-4800
(413) 442-9701
Mailing address
510 NORTH ST, SUITE 9, PITTSFIELD, MA 01201-5493
(413) 443-4800
(413) 442-9701

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
784
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110119581A
MA
Enumeration date
10/20/2016
Last updated
02/08/2017
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