New Life Treatment Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NEW LIFE TREATMENT CENTER

Practice address

1254 Main St
Waltham, MA 02451-1739

Phone

(781) 472-2420

NPI assigned

Sep 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hovanes Petrosian

Title

Owner

Phone

(781) 697-0607

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1639698038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 AVALON WAY",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511739",
            "telephone_number": "781-472-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "PETROSIAN",
        "authorized_official_first_name": "HOVANES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-697-0607"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Waltham, MA
• Providers in Waltham, MA by specialty
• Multi-Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.