Provider Demographics
NPI:1932399771
Name:NEW ENGLAND PAIN CERE
Entity Type:Organization
Organization Name:NEW ENGLAND PAIN CERE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:BROWNLIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-826-7230
Mailing Address - Street 1:10 CENTENNIAL DR
Mailing Address - Street 2:EAST ENTRANCE
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7900
Mailing Address - Country:US
Mailing Address - Phone:978-826-7234
Mailing Address - Fax:978-826-7239
Practice Address - Street 1:10 CENTENNIAL DR
Practice Address - Street 2:EAST ENTRANCE
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7900
Practice Address - Country:US
Practice Address - Phone:978-826-7234
Practice Address - Fax:978-826-7239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA221040OtherMEDICARE GROUP NUMBER
MA039269OtherBLUE CROSS/BLUE SHIELD