Organization
NEW ENGLAND EVALUATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH C MEDEIROS (MANAGER)
(508) 984-5200
Entity
Organization
Contact information
Practice address
12 HYDE PARK AVE, JAMAICA PLAIN, MA 02130-4103
(508) 984-5200
(508) 996-8614
Mailing address
12 HYDE PARK AVE, JAMAICA PLAIN, MA 02130-4103
(508) 984-5200
(508) 996-8614
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
351
MA
208D00000X
General Practice Physician
—
—
225700000X
Massage Therapist
305
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34994
NEIGHBORHOOD HEALTH
—
01
—
AA61439
HARVARD PILGRIM HEALTHCAR
—
Enumeration date
11/16/2006
Last updated
07/08/2008
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