Organization
NEW ENGLAND NEURODIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK NIMGADE MD (OWNER)
(617) 731-0630
Entity
Organization
Contact information
Practice address
101 SUMMIT AVE, UNIT B, BROOKLINE, MA 02446-2305
(617) 731-0630
Mailing address
101 SUMMIT AVE, UNIT B, BROOKLINE, MA 02446-2305
(617) 731-0630
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18266
BLUE SHIELD
MA
Enumeration date
03/09/2007
Last updated
08/22/2020
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