Provider Demographics
NPI:1063129948
Name:NEW ENGLAND INTERVENTIONAL SPINE AND REHABILITATION, LLC
Entity type:Organization
Organization Name:NEW ENGLAND INTERVENTIONAL SPINE AND REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HO YIN AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIU
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:781-786-8626
Mailing Address - Street 1:881 WORCESTER STREET STE 1
Mailing Address - Street 2:#1073
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760
Mailing Address - Country:US
Mailing Address - Phone:781-786-8626
Mailing Address - Fax:
Practice Address - Street 1:475 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6265
Practice Address - Country:US
Practice Address - Phone:781-786-8626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty