Provider Demographics
NPI:1659628063
Name:NEW ENGLAND NATUROPATHIC CENTER, LLC
Entity Type:Organization
Organization Name:NEW ENGLAND NATUROPATHIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:MCNAMARA
Authorized Official - Last Name:ANASTASIO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:203-271-1311
Mailing Address - Street 1:288 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2540
Mailing Address - Country:US
Mailing Address - Phone:203-271-1311
Mailing Address - Fax:203-271-9899
Practice Address - Street 1:288 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2540
Practice Address - Country:US
Practice Address - Phone:203-271-1311
Practice Address - Fax:203-271-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000218175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty