Provider Demographics
NPI:1609888601
Name:NEW ENGLAND THERAPEUTICS INC
Entity type:Organization
Organization Name:NEW ENGLAND THERAPEUTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-957-0438
Mailing Address - Street 1:1927 LAKEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826
Mailing Address - Country:US
Mailing Address - Phone:978-957-0438
Mailing Address - Fax:978-957-0439
Practice Address - Street 1:1927 LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-3207
Practice Address - Country:US
Practice Address - Phone:978-957-0438
Practice Address - Fax:978-957-0439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA337454OtherBLUE CROSS
MA0020158OtherNEIGHBORHOOD HEALTH
MA1535323Medicaid
MA99809501OtherNETWORK HEALTH
MA99809501OtherNETWORK HEALTH