Organization
NORTHEAST HEARING LLC
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON FRASIER (HEARING INSTRUMENT SPECIALIST)
(203) 630-7045
Entity
Organization
Contact information
Practice address
1241 S BROAD ST, WALLINGFORD, CT 06492-1737
(203) 630-7045
(203) 630-1022
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(401) 353-4174
(401) 488-5774
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
000393
CT
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
01/12/2021
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