| Nbwn, Llc | |
|
160 Old Derby St Hingham MA 02043-4005 | |
| (781) 733-9554 | |
| (781) 987-7277 |
| Full Name | Nbwn, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 Old Derby St, Hingham, Massachusetts |
| Authorized Official Name and Position | Nicole W. Nogueira (OWNER) |
| Authorized Official Contact | 7817339554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nbwn, Llc 160 Old Derby St Hingham MA 02043-4005 Ph: (781) 733-9554 | Nbwn, Llc 160 Old Derby St Hingham MA 02043-4005 Ph: (781) 733-9554 |
| NPI Number | 1063979250 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 02/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063979250 | NPI | - | NPPES |
| 1417284696 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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