Provider Demographics
NPI:1093899346
Name:NEW ENGLAND OB/GYN ASSOCIATES,INC
Entity Type:Organization
Organization Name:NEW ENGLAND OB/GYN ASSOCIATES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAJAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-731-3400
Mailing Address - Street 1:200 BOYLSTON ST STE 301
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2008
Mailing Address - Country:US
Mailing Address - Phone:617-731-3400
Mailing Address - Fax:617-566-2224
Practice Address - Street 1:200 BOYLSTON ST STE 301
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2008
Practice Address - Country:US
Practice Address - Phone:617-731-3400
Practice Address - Fax:617-566-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9707468Medicaid
MA702828OtherTUFTS INSURANCE
MANE M10725OtherBLUE CROSS INS
MA9707468Medicaid
MA702828OtherTUFTS INSURANCE