Provider Demographics
NPI:1437702784
Name:NEW ENGLAND HEALTHCARE LLC
Entity Type:Organization
Organization Name:NEW ENGLAND HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYYA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:203-972-7766
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-0655
Mailing Address - Country:US
Mailing Address - Phone:203-972-7766
Mailing Address - Fax:203-594-7282
Practice Address - Street 1:194 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5728
Practice Address - Country:US
Practice Address - Phone:203-972-7766
Practice Address - Fax:203-594-7282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Multi-Specialty