# NEW HORIZONS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548524853
- **Authorized official:** YANANTS ANTONEVICH MD (OWNER/PRESIDENT)
- **Authorized official phone:** (617) 202-9222

## Contact information

- **Practice address:** 1180 BEACON ST, SUITE 3C, BROOKLINE, MA 02446-3885
- **Practice address phone:** (617) 202-9222
- **Practice address fax:** (617) 879-0933
- **Mailing address:** 1180 BEACON ST, SUITE 3C, BROOKLINE, MA 02446-3885
- **Mailing address phone:** (617) 202-9222
- **Mailing address fax:** (617) 879-0933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2012
- **Last updated:** 02/27/2014