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NPI Code Detail

MEDICARE: NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC

MEDICARE: NEW HYPERBARIC OXYGEN TREATMENT CENTERS 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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1909248OTHERMAHARVARD PILGRIM HEALTHCAR
2UNITED HEALTHOTHERMA043520490
30Q00865010OTHERMABCBS
4691255OTHERMATUFTS HEALTHPLAN

General Provider Information

NPI Number : 1801933841
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC
Provider Business Mailing Address
First Line : 1395 NORTH MAIN STREET
Second Line : SUITE G
City : RANDOLPH
State : MA
Zip : 02368-1768
Country : US
Telephone Number : 781-961-7887
Fax Number : 781-986-8360
Provider Business Practice Location Address
First Line : 1395 NORTH MAIN STREET
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-1768
Country : US
Telephone Number : 781-961-7887
Fax Number : 781-986-8360
Authorized Official
Title or Position : OWNER/SOLE PROPRIETOR
Name : MRS. ROSEMARY BYRNE
Credential : NP
Telephone Number : 781-961-7887
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/19/2018

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Directions to “NEW HYPERBARIC OXYGEN TREATMENT CENTERS LLC ” Practice Location

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