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Organization
NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, INC.
Active
Organization
NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GHERINGHELLI (CFO)
(800) 927-0002
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-2847
(617) 754-5800
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
MA
208100000X
Physical Medicine & Rehabilitation Physician
—
MA
208600000X
Surgery Physician
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024324
BMC HEALTHNET
MA
01
—
471712
AETNA
MA
01
—
607807
TUFTS
MA
05
—
9773843
—
MA
01
—
M15992
BCBS MA
MA
Enumeration date
01/06/2006
Last updated
11/28/2017
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