Provider Demographics
NPI:1689009094
Name:HULL, NEWTON J
Entity Type:Individual
Prefix:
First Name:NEWTON
Middle Name:J
Last Name:HULL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 WATER STREET
Mailing Address - Street 2:HEALTHCARE FOR HIRE
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360
Mailing Address - Country:US
Mailing Address - Phone:508-732-9770
Mailing Address - Fax:
Practice Address - Street 1:1493 CAMBRIDGE STREET CAMBRIDGE HEALTH HEALTH ALLIANCE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE STREET
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:508-732-9770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA59992164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse