Organization Name: | NEW ENGLAND EYE SURGICAL CENTER INC |
NPI Number: | 1053378265 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH J CAMEROTA (ADMINISTRATOR) |
Mailing Address: | 696 Main St Weymouth |
State: | MA US |
Postal Code: | 02190 |
Phone Number: | 7813313820 |
Fax Number: | 7813311076 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 02/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS0132X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ophthalmologic Surgery |
Taxonomy Definition: |