Organization
NEW ENGLAND SPINE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R BETANCUR D.C. (MANAGER/OWNER)
(413) 733-1777
Entity
Organization
Contact information
Practice address
32 HAMPDEN STREET 3RD FLOOR, NEW ENGLAND SPINE CENTER, INC., SPRINGFIELD, MA 01103
(413) 733-1777
(413) 733-1771
Mailing address
32 HAMPDEN STREET 3RD FLOOR, NEW ENGLAND SPINE CENTER, INC., SPRINGFIELD, MA 01103
(413) 733-1777
(413) 733-1771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2358
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699971
—
MA
01
—
Y36695
BC OF MA
MA
01
—
Y45368
MEDICARE
MA
Enumeration date
07/01/2009
Last updated
07/01/2009
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