Individual
MR. MICHAEL ANTHONY TASSIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. , CCC-A
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2495
Mailing address
11 HEDGE MEADOW LN, NEWTOWN, CT 06470-1320
(203) 852-2495
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000304
CT
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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