Provider Demographics
NPI:1851729362
Name:ADVANCED HEARING TECHNOLOGIES OF NEW ENGLAND
Entity Type:Organization
Organization Name:ADVANCED HEARING TECHNOLOGIES OF NEW ENGLAND
Other - Org Name:ADVANCED HEARING TECHNOLOGIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERNIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:SAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-985-9516
Mailing Address - Street 1:7278 DORSET ST
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7043
Mailing Address - Country:US
Mailing Address - Phone:802-985-9516
Mailing Address - Fax:
Practice Address - Street 1:7278 DORSET ST
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7043
Practice Address - Country:US
Practice Address - Phone:802-985-9516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT063.0000131332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment