Provider Demographics
NPI:1780789792
Name:AUDIOLOGY SERVICES INC
Entity type:Organization
Organization Name:AUDIOLOGY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROSOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCC-A
Authorized Official - Phone:619-484-8700
Mailing Address - Street 1:90 CONCORD AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478
Mailing Address - Country:US
Mailing Address - Phone:617-484-8700
Mailing Address - Fax:617-484-3043
Practice Address - Street 1:90 CONCORD AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478
Practice Address - Country:US
Practice Address - Phone:617-484-8700
Practice Address - Fax:617-484-3043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
102469600OtherOWCP WORKMANS COMP
MA616973OtherHARVARD PILGRIM HEALTHCAR
711267OtherTUFTS
165914OtherUNITED HEALTHCARE
MA640004106OtherRAILROAD MEDICARE
MA9775501Medicaid
MAAG0009OtherBCBS
102469600OtherOWCP WORKMANS COMP
711267OtherTUFTS