Healthcare Provider Details

I. General information

NPI: 1841256302
Provider Name (Legal Business Name): NEW ENGLAND PAIN CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTENNIAL DR EAST ENTRANCE
PEABODY MA
01960-7900
US

IV. Provider business mailing address

PO BOX 223
SWAMPSCOTT MA
01907-0323
US

V. Phone/Fax

Practice location:
  • Phone: 978-826-7234
  • Fax: 978-826-7239
Mailing address:
  • Phone: 978-826-7234
  • Fax: 978-826-7239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number71164
License Number StateMA

VIII. Authorized Official

Name: DR. JULIEN VAISMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 978-826-7234