Provider Demographics
NPI:1457874562
Name:GLASS DAUGHTER INC
Entity Type:Organization
Organization Name:GLASS DAUGHTER INC
Other - Org Name:NORWOOD HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:774-203-4177
Mailing Address - Street 1:20 VERNON ST STE 7
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-2184
Mailing Address - Country:US
Mailing Address - Phone:774-203-4177
Mailing Address - Fax:
Practice Address - Street 1:20 VERNON ST STE 7
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-2184
Practice Address - Country:US
Practice Address - Phone:774-203-4177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment