Provider Demographics
NPI:1427546365
Name:NEW ENGLAND HERNIA CENTER LLC
Entity Type:Organization
Organization Name:NEW ENGLAND HERNIA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCHESNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-452-5050
Mailing Address - Street 1:91 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01450-1044
Mailing Address - Country:US
Mailing Address - Phone:413-531-0452
Mailing Address - Fax:
Practice Address - Street 1:20 RESEARCH PL STE 130
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2455
Practice Address - Country:US
Practice Address - Phone:978-452-5050
Practice Address - Fax:978-323-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-26
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158977208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty