Organization
NEW ENGLAND NEUROSURGICAL ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NONE NONE MD (PRESIDENT)
(800) 927-0002
Entity
Organization
Contact information
Practice address
271 CAREW ST, SPRINGFIELD, MA 01104-2377
(413) 781-2211
Mailing address
PO BOX 9137, BROOKLINE, MA 02446-9137
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M21202
—
MA
Enumeration date
12/27/2005
Last updated
08/22/2020
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