Provider Demographics
NPI:1174283857
Name:ADVANCED HEARING HEALTHCARE CENTERS INC
Entity Type:Organization
Organization Name:ADVANCED HEARING HEALTHCARE CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:100 PERCENT SHARE HOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRIENZO
Authorized Official - Suffix:IV
Authorized Official - Credentials:AUD
Authorized Official - Phone:860-944-9938
Mailing Address - Street 1:41B NEW LONDON TPKE
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4240
Mailing Address - Country:US
Mailing Address - Phone:860-659-8805
Mailing Address - Fax:860-657-8359
Practice Address - Street 1:41B NEW LONDON TPKE
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4240
Practice Address - Country:US
Practice Address - Phone:860-659-8805
Practice Address - Fax:860-657-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
1508902933OtherNPI