Dr. Edward G Neilan
Pediatrician Clinical Genetics (M.D.)
300 Longwood Ave
Boston
, Massachusetts 02115-5724
Dr. Edward G Neilan
Pediatrician Clinical Genetics (M.D.)
300 Longwood Ave
Boston
, Massachusetts 02115-5724
(508) 653-7422
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About
Features
Specialties
- Clinical Genetics (M.D.)
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Edward G Neilan
- 39 Jennings Pond Rd
- Natick, MA
- Zip : 01760-2343
- Phone : (508) 653-7422
Second Address
- Dr. Edward G Neilan
- 300 Longwood Ave
- Boston, MA
- Zip : 02115-5724
- Phone : (617) 355-6394
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 210639 | MA |
| N | 208000000X | Pediatrician | 210639 | MA |
National Provider Identifier
| NPI | 1245297480 |
|---|---|
| Provider Name | Dr. Edward G Neilan |
| First Address | Natick, MA 01760-2343 |
| Second Address | Boston, MA 02115-5724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 29/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I17691 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.