MEDICARE: NEW DIMENSIONS IN HEALTH INC

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
1	174400000X	Specialist	264	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	PT0047	OTHER	MA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6440025	OTHER	MA	UNITED HEALTHCARE
2	Y65611	OTHER	MA	BLUE CROSS
3	4598099	OTHER	MA	AETNA
4	603413	OTHER	MA	HPHC
5	10230200	OTHER	MA	ACS
6	8211	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
8	718592	OTHER	MA	TUFTS

General Provider Information

NPI Number	:	1588838452
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DIMENSIONS IN HEALTH INC

Provider Business Mailing Address
First Line	:	40 ASBURY ST
Second Line	:
City	:	SOUTH HAMILTON
State	:	MA
Zip	:	01982-1808
Country	:	US
Telephone Number	:	617-269-6262
Fax Number	:	617-269-1068

Provider Business Practice Location Address
First Line	:	40 ASBURY ST
Second Line	:
City	:	SOUTH HAMILTON
State	:	MA
Zip	:	01982-1808
Country	:	US
Telephone Number	:	617-269-6262
Fax Number	:	617-269-1068

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	DR. JUDITH DALE HERSHBERG
Credential	:	PT,DPT,MS
Telephone Number	:	617-269-6262

Provider Enumeration Date	:	04/22/2008
Last Update Date	:	05/21/2009

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Directions to “NEW DIMENSIONS IN HEALTH INC ” Practice Location

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