Individual
DR. NILOO M EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
732 HARRISON AVE, 3RD FLOOR, BOSTON, MA 02118
(617) 638-5600
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
281612
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
46078
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01647098
—
NY
01
—
020028102
RAILROAD MEDICARE
NY
Enumeration date
04/12/2006
Last updated
11/26/2019
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