Healthcare Provider Details
I. General information
NPI: 1205931276
Provider Name (Legal Business Name): NEW ENGLAND SURGICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28304 CEDAR PARK BLVD STE H
PERRYSBURG OH
43551-4863
US
IV. Provider business mailing address
28304 CEDAR PARK BLVD STE H
PERRYSBURG OH
43551-4863
US
V. Phone/Fax
- Phone: 888-693-9931
- Fax: 689-999-4514
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
WRIGHT
Title or Position: CEO
Credential:
Phone: 419-491-1054