Provider Demographics
NPI:1598160095
Name:MASSACHUSETTS EYE AND EAR ASSOCIATES, INC.
Entity Type:Organization
Organization Name:MASSACHUSETTS EYE AND EAR ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHILONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-573-3941
Mailing Address - Street 1:300 CROWN COLONY DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:617-804-4789
Mailing Address - Fax:
Practice Address - Street 1:ONE RANDALL SQUARE
Practice Address - Street 2:SUITE 206
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:401-453-4600
Practice Address - Fax:401-453-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty