Individual
DR. ALLAN STEVEN NADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 4 VINCENT OB GYN SERVICE, BOSTON, MA 02114-2621
(617) 724-2229
(617) 724-3498
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(978) 882-6767
(978) 882-6775
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
71567
MA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
71567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6180477
—
MA
01
—
729419
TUFTS HEALTH PLAN
MA
01
—
J03664
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
11/16/2012
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