Healthcare Provider Details

I. General information

NPI: 1578507943
Provider Name (Legal Business Name): NEW ENGLAND ORTHOPEDICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 TOLL GATE RD
WARWICK RI
02886-4418
US

IV. Provider business mailing address

220 TOLL GATE RD
WARWICK RI
02886-4418
US

V. Phone/Fax

Practice location:
  • Phone: 401-739-9838
  • Fax: 401-738-5669
Mailing address:
  • Phone: 401-739-9838
  • Fax: 401-738-5669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSAN D INFANTOLINO
Title or Position: MGR
Credential:
Phone: 401-739-9838