Individual
KEITH C NOBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 PARADISE RD, SWAMPSCOTT, MA 01907-2948
(781) 596-2000
(781) 595-7111
Mailing address
148 EAST AVE, SUITE 3H, NORWALK, CT 06851-5721
(203) 354-6100
(203) 354-6196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47988
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088401
—
MA
Enumeration date
07/21/2005
Last updated
12/03/2009
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