Provider Demographics
NPI:1114185477
Name:NEW ENGLAND ORTHOPAEDICS & SPINE
Entity Type:Organization
Organization Name:NEW ENGLAND ORTHOPAEDICS & SPINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TADHG
Authorized Official - Middle Name:
Authorized Official - Last Name:O'GARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-430-0282
Mailing Address - Street 1:86 NEWCASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:86 NEWCASTLE AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5216
Practice Address - Country:US
Practice Address - Phone:603-430-0282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13635207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty