Provider Demographics
NPI:1992186035
Name:MASSACHUSETTS EYE AND EAR ASSOCIATES LLC
Entity Type:Organization
Organization Name:MASSACHUSETTS EYE AND EAR ASSOCIATES LLC
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 DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0904
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 CONGRESS ST STE 2B
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0960
Practice Address - Country:US
Practice Address - Phone:617-774-1717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MASSACHUSETTS EYE AND EAR ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-15
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty