Provider Demographics
NPI:1497023709
Name:NORTHEAST MEDICAL RESEARCH ASSOCIATES, INC.
Entity Type:Organization
Organization Name:NORTHEAST MEDICAL RESEARCH ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:S DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-992-7595
Mailing Address - Street 1:49 STATE RD
Mailing Address - Street 2:WATUPPA BLDG., SUITE 202
Mailing Address - City:NORTH DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3300
Mailing Address - Country:US
Mailing Address - Phone:508-992-7595
Mailing Address - Fax:508-984-5574
Practice Address - Street 1:49 STATE RD
Practice Address - Street 2:WATUPPA BLDG., SUITE 202
Practice Address - City:NORTH DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3300
Practice Address - Country:US
Practice Address - Phone:508-992-7595
Practice Address - Fax:508-984-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA743801744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Single Specialty