Provider Demographics
NPI:1205931276
Name:NEW ENGLAND SURGICAL INC
Entity type:Organization
Organization Name:NEW ENGLAND SURGICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-675-7874
Mailing Address - Street 1:PO BOX 470
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02722-0470
Mailing Address - Country:US
Mailing Address - Phone:508-675-7874
Mailing Address - Fax:508-672-7930
Practice Address - Street 1:17 STAFFORD ROAD
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721
Practice Address - Country:US
Practice Address - Phone:508-675-7874
Practice Address - Fax:508-672-7930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1524348Medicaid
6419OtherCIGNA OF NH
701205OtherHARVARD PILGRIM
15664OtherGENTIVA
8416OtherFALLON COMMUNITY
RI2020001Medicaid
6419OtherCIGNA OF MA
75857OtherBLUE CROSS OF RI
MA179254OtherBLUE CROSS MA
765579OtherCONNECTICARE
00304834500OtherBLUE CARE FAMILY
011018OtherBLUE CROSS OF ME
1208148Y0MA01OtherBLUE CROSS OF NH
800790OtherTUFTS
12DME0340MA01OtherBLUE CROSS OF CT
8200785OtherEVERCARE
=========OtherHEALTHNET TRICARE
CT00304834500Medicare ID - Type Unspecified
RI2020001Medicaid