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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8211	OTHER	MA	NEIGHBORHOOD HP
2	Y65611	OTHER	MA	BLUE CROSS BLUE SHIELD
3	718592	OTHER	MA	TUFTS HP
4	10230200	OTHER	MA	ACS
5	4598099	OTHER	MA	AETNA
6	603413	OTHER	MA	HARVARD PILGRIM HC
7	6440025	OTHER	MA	UNITED HC

General Provider Information

NPI Number	:	1881684934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DIMENSIONS IN HEALTH, INC.

Provider Business Mailing Address
First Line	:	653 SUMMER ST
Second Line	:	2ND FLOOR
City	:	BOSTON
State	:	MA
Zip	:	02210-2108
Country	:	US
Telephone Number	:	617-269-6262
Fax Number	:	617-269-1068

Provider Business Practice Location Address
First Line	:	653 SUMMER ST
Second Line	:	2ND FLOOR
City	:	BOSTON
State	:	MA
Zip	:	02210-2108
Country	:	US
Telephone Number	:	617-269-6262
Fax Number	:	617-269-1068

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	05/20/2015

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Directions to “NEW DIMENSIONS IN HEALTH, INC. ” Practice Location

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