Provider Demographics
NPI:1114569019
Name:HEARING AND BRAIN CENTERS OF NEW ENGLAND
Entity Type:Organization
Organization Name:HEARING AND BRAIN CENTERS OF NEW ENGLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JARED
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRADER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-229-9963
Mailing Address - Street 1:161 W 200 N STE 110
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-7386
Mailing Address - Country:US
Mailing Address - Phone:435-222-0660
Mailing Address - Fax:435-275-7966
Practice Address - Street 1:102 SHORE DR STE 400
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3154
Practice Address - Country:US
Practice Address - Phone:508-753-8155
Practice Address - Fax:508-797-9524
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE HEARING SOLUTIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech