Provider Demographics
NPI:1588838452
Name:NEW DIMENSIONS IN HEALTH INC
Entity Type:Organization
Organization Name:NEW DIMENSIONS IN HEALTH INC
Other - Org Name:THE BOSTON CENTER FOR PHYSICAL THERAPY AND SPORTS MEDICINE/HAMILTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:HERSHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT,MS
Authorized Official - Phone:617-269-6262
Mailing Address - Street 1:40 ASBURY ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-1808
Mailing Address - Country:US
Mailing Address - Phone:617-269-6262
Mailing Address - Fax:617-269-1068
Practice Address - Street 1:40 ASBURY ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-1808
Practice Address - Country:US
Practice Address - Phone:617-269-6262
Practice Address - Fax:617-269-1068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA264174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6440025OtherUNITED HEALTHCARE
MAY65611OtherBLUE CROSS
MA4598099OtherAETNA
MA603413OtherHPHC
MA10230200OtherACS
MA8211OtherNEIGHBORHOOD HEALTH PLAN
MAPT0047OtherMEDICARE
MA718592OtherTUFTS