Provider Demographics
NPI:1881856276
Name:NEW ENGLAND COMPOUNDING CENTER
Entity Type:Organization
Organization Name:NEW ENGLAND COMPOUNDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-656-2630
Mailing Address - Street 1:697 WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8589
Mailing Address - Country:US
Mailing Address - Phone:800-994-6322
Mailing Address - Fax:
Practice Address - Street 1:697 WAVERLY ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8589
Practice Address - Country:US
Practice Address - Phone:800-994-6322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28483336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy