Provider Demographics
NPI:1316272479
Name:NEW ENGLAND ORGAN BANK, INC.
Entity type:Organization
Organization Name:NEW ENGLAND ORGAN BANK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP & GENERAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GLAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MPH
Authorized Official - Phone:617-244-8000
Mailing Address - Street 1:60 FIRST AVENUE
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1106
Mailing Address - Country:US
Mailing Address - Phone:617-244-8000
Mailing Address - Fax:
Practice Address - Street 1:60 FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1106
Practice Address - Country:US
Practice Address - Phone:617-244-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
22P001OtherMEDICARE IDENTIFICATION NO.