1710557459 NPI number — NEW ENGLAND ORTHOPEDIC SURGEONS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710557459 NPI number — NEW ENGLAND ORTHOPEDIC SURGEONS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ENGLAND ORTHOPEDIC SURGEONS
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:
1710557459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 BIRNIE AVE
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-785-4666
Provider Business Mailing Address Fax Number:
413-846-4756

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 KING STREET
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
NORTHAMPTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-785-4666
Provider Business Practice Location Address Fax Number:
413-846-4756
Provider Enumeration Date:
06/25/2021

Additional Information

Authorized Official

Authorized Official Last Name:
RINO
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
413-233-1101

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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