# NEWGENN PSYCHIATRY

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

## Provider details

- **NPI number:** 1851162085
- **Authorized official:** ALBERTA KOOSONO ADU NP (CNP)
- **Authorized official phone:** (774) 364-8183

## Contact information

- **Practice address:** 303 WYMAN ST STE 300, WALTHAM, MA 02451-1255
- **Practice address phone:** (774) 364-8183
- **Mailing address:** 303 WYMAN ST STE 300, WALTHAM, MA 02451-1255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 01/16/2024