NPI 1104379015 · live from the CMS NPI Registry
Tiffany Berman, Au.D
Audiologist in Burlington, MA. National Provider Identifier 1104379015, active.
NPI record
| NPI | 1104379015 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 41 Mall Rd, Burlington, MA 01805 |
| Practice phone | 781-744-8000 |
| Mailing address | 110 Francis St, Boston, MA 02215 |
| Enumerated | July 27, 2016 |
| Last updated | June 25, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | 4752 (MA) |
| Audiologist primary | 231H00000X | AUD4752 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.