Provider Demographics
NPI:1285911370
Name:CZARNOTA, ANNEMARIE
Entity type:Individual
Prefix:
First Name:ANNEMARIE
Middle Name:
Last Name:CZARNOTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SYLVAN RD
Mailing Address - Street 2:STE 750
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1851
Mailing Address - Country:US
Mailing Address - Phone:781-937-3001
Mailing Address - Fax:781-305-2779
Practice Address - Street 1:100 SYLVAN RD
Practice Address - Street 2:STE 750
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1851
Practice Address - Country:US
Practice Address - Phone:781-937-3001
Practice Address - Fax:781-937-3070
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA386231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist