Provider Demographics
NPI:1477362663
Name:NEW ENGLAND REGIONAL HEALTHCARE AND WELLNESS
Entity type:Organization
Organization Name:NEW ENGLAND REGIONAL HEALTHCARE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:774-214-2970
Mailing Address - Street 1:3 WALTER ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1031
Mailing Address - Country:US
Mailing Address - Phone:774-214-2970
Mailing Address - Fax:508-519-0577
Practice Address - Street 1:35 HARVARD ST STE 104
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-2828
Practice Address - Country:US
Practice Address - Phone:774-214-2970
Practice Address - Fax:508-519-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Single Specialty