Provider Demographics
NPI:1649545856
Name:NEW ENGLAND CLINICAL THERMOGRAPHY INCOPORATED
Entity type:Organization
Organization Name:NEW ENGLAND CLINICAL THERMOGRAPHY INCOPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:OMEARA
Authorized Official - Suffix:
Authorized Official - Credentials:CCT
Authorized Official - Phone:401-475-5060
Mailing Address - Street 1:80 FISHER RD UNIT 82
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1646
Mailing Address - Country:US
Mailing Address - Phone:401-475-5060
Mailing Address - Fax:
Practice Address - Street 1:80 FISHER RD UNIT 82
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1646
Practice Address - Country:US
Practice Address - Phone:401-475-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty