Provider Demographics
NPI:1205968641
Name:SPINE CENTERS OF NEW ENGLAND INC
Entity type:Organization
Organization Name:SPINE CENTERS OF NEW ENGLAND INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:TSONIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-997-3100
Mailing Address - Street 1:145 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-4108
Mailing Address - Country:US
Mailing Address - Phone:508-997-3100
Mailing Address - Fax:508-997-2244
Practice Address - Street 1:15 ROCHE BROTHERS WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356
Practice Address - Country:US
Practice Address - Phone:774-263-0013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2635111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty