Provider Demographics
NPI:1053389007
Name:NEWTON-WELLESLEY EATING DISORDERS & BEHAVIORAL MEDICINE
Entity type:Organization
Organization Name:NEWTON-WELLESLEY EATING DISORDERS & BEHAVIORAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BELFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-332-2700
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-0004
Mailing Address - Country:US
Mailing Address - Phone:617-332-2701
Mailing Address - Fax:617-277-4752
Practice Address - Street 1:1101 BEACON ST
Practice Address - Street 2:SUITE 8E
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-5587
Practice Address - Country:US
Practice Address - Phone:617-332-2701
Practice Address - Fax:617-277-4752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty