Provider Demographics
NPI:1447799036
Name:NEW ENGLAND PREMIER HEALTHCARE LTD
Entity type:Organization
Organization Name:NEW ENGLAND PREMIER HEALTHCARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARRON
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-996-5267
Mailing Address - Street 1:48 GASPEE POINT DR
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-4918
Mailing Address - Country:US
Mailing Address - Phone:401-996-5267
Mailing Address - Fax:
Practice Address - Street 1:116 EDDIE DOWLING HWY
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-7327
Practice Address - Country:US
Practice Address - Phone:401-996-5267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD15142207R00000X
RIAPRN00833363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty