Provider Demographics
NPI:1194180547
Name:VERITAS WELLNESS
Entity Type:Organization
Organization Name:VERITAS WELLNESS
Other - Org Name:BODYLOGICMD OF BOSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NADA
Authorized Official - Middle Name:
Authorized Official - Last Name:MILOSAVLJEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD, JD
Authorized Official - Phone:401-595-0600
Mailing Address - Street 1:313 WASHINGTON ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1626
Mailing Address - Country:US
Mailing Address - Phone:401-595-0600
Mailing Address - Fax:
Practice Address - Street 1:313 WASHINGTON ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1626
Practice Address - Country:US
Practice Address - Phone:401-595-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2206892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty