Provider Demographics
NPI:1881303220
Name:NEWTON-WELLESLEY HOSPITAL
Entity type:Organization
Organization Name:NEWTON-WELLESLEY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-243-5155
Mailing Address - Street 1:2014 WASHINGTON ST STE 361
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1607
Mailing Address - Country:US
Mailing Address - Phone:617-243-5155
Mailing Address - Fax:617-243-5090
Practice Address - Street 1:2014 WASHINGTON ST STE 361
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1607
Practice Address - Country:US
Practice Address - Phone:617-243-5155
Practice Address - Fax:617-243-5090
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEWTON-WELLESLEY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies