Provider Demographics
NPI:1881615052
Name:NEWTON WELLNESS CENTER, LLC
Entity type:Organization
Organization Name:NEWTON WELLNESS CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC MSC
Authorized Official - Phone:617-641-9999
Mailing Address - Street 1:1280 CENTRE ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1553
Mailing Address - Country:US
Mailing Address - Phone:617-641-9999
Mailing Address - Fax:617-641-6767
Practice Address - Street 1:1280 CENTRE ST
Practice Address - Street 2:SUITE 210
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1553
Practice Address - Country:US
Practice Address - Phone:617-641-9999
Practice Address - Fax:617-641-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty