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NPI Code Detail

MEDICARE: NEW ENGLAND NEUROVASCULAR ASSOCIATES LLC

MEDICARE: NEW ENGLAND NEUROVASCULAR ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0700XNeuroradiology Physician

General Provider Information

NPI Number : 1174460703
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ENGLAND NEUROVASCULAR ASSOCIATES LLC
Provider Business Mailing Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 617-546-1976
Fax Number :
Provider Business Practice Location Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 617-546-1976
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. AJIT S PURI
Credential : MD
Telephone Number : 617-546-1976
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/05/2026

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Directions to “NEW ENGLAND NEUROVASCULAR ASSOCIATES LLC ” Practice Location

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