NEWTON WELLESLEY PRIMARY CARE P C NPI 1003911579

NPI Information

  • NPI: 1003911579
  • Provider Name: NEWTON WELLESLEY PRIMARY CARE P C
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 22D2108317
  • Address: 40 WALNUT ST
    WELLESLEY, MA
    ZIP 02481
  • Phone: (781) 943-3000

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NPI Details

NEWTON WELLESLEY PRIMARY CARE P C is an internal medicine in Wellesley, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NEWTON WELLESLEY PRIMARY CARE P C NPI is 1003911579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 WALNUT ST
WELLESLEY, MA
ZIP 02481-173
Phone: (781) 943-3000
Fax: (781) 943-3001

The provider's authorized official is William B Holgerson .
The authorized official title is President and has the following contact phone number (781) 235-1224.

The CLIA number assigned to this NPI record is 22D2108317 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 3/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M16342OTHERMASSACHUSETTSBLUESHIELD NEWTON GRP#
2M20124MEDICARE PINMASSACHUSETTS
39777644OTHERMASSACHUSETTSMASSHEALTH GROUP#
4607309OTHERMASSACHUSETTSTUFTS GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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