1205931276 NPI number — NEW ENGLAND SURGICAL INC

Table of content: (NPI 1205931276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205931276 NPI number — NEW ENGLAND SURGICAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ENGLAND SURGICAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205931276
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 470
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALL RIVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02722-0470
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-675-7874
Provider Business Mailing Address Fax Number:
508-672-7930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17 STAFFORD ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02721
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-675-7874
Provider Business Practice Location Address Fax Number:
508-672-7930
Provider Enumeration Date:
09/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FREEDMAN
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-675-7874

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1524348 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6419 . This is a "CIGNA OF NH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 701205 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 15664 . This is a "GENTIVA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8416 . This is a "FALLON COMMUNITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2020001 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6419 . This is a "CIGNA OF MA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 75857 . This is a "BLUE CROSS OF RI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 179254 . This is a "BLUE CROSS MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 765579 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00304834500 . This is a "BLUE CARE FAMILY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 011018 . This is a "BLUE CROSS OF ME" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1208148Y0MA01 . This is a "BLUE CROSS OF NH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800790 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 12DME0340MA01 . This is a "BLUE CROSS OF CT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8200785 . This is a "EVERCARE" identifier . This identifiers is of the category "OTHER".




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