Healthcare Provider Details

I. General information

NPI: 1710933411
Provider Name (Legal Business Name): JULIA R NEURINGER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 WASHINGTON ST. NEWTON/WELLESLEY-NEPHROL
NEWTON MA
02461
US

IV. Provider business mailing address

2014 WASHINGTON STREET NEWTON WELLESLEY HOSPITAL
NEWTON MA
02462
US

V. Phone/Fax

Practice location:
  • Phone: 617-244-6940
  • Fax:
Mailing address:
  • Phone: 617-244-6940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number71657
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: