Provider Demographics
NPI:1770228843
Name:D'ONOFRIO, MARTIN THOMAS (HARING AID DISPENSE)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:THOMAS
Last Name:D'ONOFRIO
Suffix:
Gender:M
Credentials:HARING AID DISPENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3337
Mailing Address - Country:US
Mailing Address - Phone:802-734-6317
Mailing Address - Fax:
Practice Address - Street 1:4 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3110
Practice Address - Country:US
Practice Address - Phone:802-734-6317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT063.0134052237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist