Provider Demographics
NPI:1477883825
Name:NEW ENGLAND MEDICAL OFFICE
Entity Type:Organization
Organization Name:NEW ENGLAND MEDICAL OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:ARBUES
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-632-6123
Mailing Address - Street 1:469 CENTERVILLE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4354
Mailing Address - Country:US
Mailing Address - Phone:401-889-2300
Mailing Address - Fax:401-739-2300
Practice Address - Street 1:469 CENTERVILLE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4354
Practice Address - Country:US
Practice Address - Phone:401-889-2300
Practice Address - Fax:401-739-2300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI11705208000000X
RI117062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty