Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 71567 | MA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 71567 | MA |
NPI | 1063403574 |
---|---|
Provider Name | Dr. Allan Steven Nadel |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 16/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6180477 | (05) | MA |
729419 | TUFTS HEALTH PLAN (01) | MA |
B74479 | (02) | |
J03664 | BCBS MA (01) | MA |