MEDICARE: NEW ENGLAND CONSULTANTS IN GASTROENTEROLOGY AND HEPATOLOGY PC

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	207RG0100X	Gastroenterology Physician	230294	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942654850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ENGLAND CONSULTANTS IN GASTROENTEROLOGY AND HEPATOLOGY PC

Provider Business Mailing Address
First Line	:	43 LINCOLN ST
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-8205
Country	:	US
Telephone Number	:	508-872-0508
Fax Number	:	508-872-0588

Provider Business Practice Location Address
First Line	:	43 LINCOLN ST
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-8205
Country	:	US
Telephone Number	:	508-872-0508
Fax Number	:	508-872-0588

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	PEGGY BOWER
Credential	:
Telephone Number	:	508-872-0508

Provider Enumeration Date	:	04/17/2016
Last Update Date	:	04/17/2016

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