# NEWTON WELLESLEY INTERVENTIONAL SPINE LLC

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

## Provider details

- **NPI number:** 1881027746
- **Authorized official:** DR. OMAR HAMMAM EL ABD M.D. (OWNER)
- **Authorized official phone:** (781) 308-0300

## Contact information

- **Practice address:** 378 WASHINGTON ST, WELLESLEY, MA 02481-6207
- **Practice address phone:** (781) 489-5541
- **Practice address fax:** (781) 489-5340
- **Mailing address:** 378 WASHINGTON ST, WELLESLEY, MA 02481-6207
- **Mailing address phone:** (781) 489-5541
- **Mailing address fax:** (781) 489-5340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 217195 | MA | Yes |

## Other

- **Enumeration date:** 08/14/2013
- **Last updated:** 01/13/2014
