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Individual
DR. GARY JOHN NIELAN
Active
Individual
DR. GARY JOHN NIELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
155058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008141
BOSTON MED CENTER HEALTH
—
01
—
010155058MA01
ANTHEM BCBS
—
01
—
102170
CIGNA
—
01
—
1204585
UNITED HEALTHCARE
—
01
—
155058
MA LICENSE
—
01
—
1550588404
CONNECTICARE
—
01
—
2017078
AETNA/USHC
—
01
—
201928
HARVARD PILGRIM
—
01
—
23378
HEALTH NEW ENGLAND
—
01
—
28036
CHILDRENS MEDICAL SECURIT
—
05
—
3182916
—
MA
01
—
353451
HEALTHSOURCE MA NH
—
01
—
975887
NETWORK HEALTH
—
01
—
J18133
BCBS
—
Enumeration date
09/26/2005
Last updated
03/07/2023
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