Provider Demographics
NPI:1437428075
Name:CRAIG D BARTH
Entity Type:Organization
Organization Name:CRAIG D BARTH
Other - Org Name:NEW ENGLAND AUDIOLOGICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARTH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:978-256-6768
Mailing Address - Street 1:3 MEETING HOUSE RD
Mailing Address - Street 2:SUITE # 19
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2738
Mailing Address - Country:US
Mailing Address - Phone:978-256-6768
Mailing Address - Fax:
Practice Address - Street 1:3 MEETING HOUSE RD
Practice Address - Street 2:SUITE # 19
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2738
Practice Address - Country:US
Practice Address - Phone:978-256-6768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0458261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech