Healthcare Provider Details

I. General information

NPI: 1205803913
Provider Name (Legal Business Name): NEW ENGLAND HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 10/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 WASHINGTON ST VERNON CANCER CENTER
NEWTON MA
02462-1607
US

IV. Provider business mailing address

2014 WASHINGTON STREET VERNON CANCER CENTER
NEWTON MA
02462-1607
US

V. Phone/Fax

Practice location:
  • Phone: 617-658-6000
  • Fax: 617-658-6001
Mailing address:
  • Phone: 617-658-6000
  • Fax: 617-658-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. AMY CARLTON
Title or Position: ADMINSTRATIVE DIRECTOR
Credential:
Phone: 617-658-6000