Provider Demographics
NPI:1588075527
Name:NEW DIMENSIONS IN HEALTH, INC.
Entity type:Organization
Organization Name:NEW DIMENSIONS IN HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:HERSHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT,DPT,MS
Authorized Official - Phone:617-269-6262
Mailing Address - Street 1:653 SUMMER ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-2108
Mailing Address - Country:US
Mailing Address - Phone:617-269-6262
Mailing Address - Fax:617-269-1068
Practice Address - Street 1:1 SEAPORT LN
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-2013
Practice Address - Country:US
Practice Address - Phone:617-269-6262
Practice Address - Fax:617-269-1068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA264261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy