Organization
NEUROCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT MAYER (CONTROLLER)
(617) 796-7766
Entity
Organization
Contact information
Practice address
70 WELLS AVE, SUITE 201, NEWTON, MA 02459-3210
(617) 796-7766
(617) 796-9099
Mailing address
70 WELLS AVE, SUITE 201, NEWTON, MA 02459-3210
(617) 796-7766
(617) 796-9099
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577845
AETNA US HEALTHCARE
MA
01
—
603116
HARVARDPILGRIMHEALTHCARE
MA
01
—
713709
TUFTS
MA
01
—
SF038269
BCBS OF MA
MA
Enumeration date
08/23/2005
Last updated
04/20/2008
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