Provider Demographics
NPI:1609853340
Name:NEW ENGLAND SURGICAL GROUP LLP
Entity type:Organization
Organization Name:NEW ENGLAND SURGICAL GROUP LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLEFEUILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-737-8328
Mailing Address - Street 1:401 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3404
Mailing Address - Country:US
Mailing Address - Phone:413-737-8328
Mailing Address - Fax:413-737-1377
Practice Address - Street 1:401 CHESTNUT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-3477
Practice Address - Country:US
Practice Address - Phone:413-737-8328
Practice Address - Fax:413-737-1377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-23
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA612500OtherTUFTS
DA2611OtherRAILROAD MEDICARE
MAM13788OtherBLUE CROSS
MAG0151OtherCONNECTICARE
MA0012843OtherNEIGHBORHOOD HP
DA2611OtherRAILROAD MEDICARE