Provider Demographics
NPI:1013370329
Name:NEW ENGLAND ORTHOPAEDIC & SPINE SURGERY LLC
Entity Type:Organization
Organization Name:NEW ENGLAND ORTHOPAEDIC & SPINE SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CARKNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-734-2450
Mailing Address - Street 1:830 BOYLSTON ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2503
Mailing Address - Country:US
Mailing Address - Phone:617-734-2450
Mailing Address - Fax:
Practice Address - Street 1:830 BOYLSTON ST
Practice Address - Street 2:SUITE 211
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2503
Practice Address - Country:US
Practice Address - Phone:617-734-2450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty