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Individual

NATHAN C CARDOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
915 COMMONWEALTH AVE REAR, BOSTON, MA 02215-1394
(617) 358-3400
(617) 358-3710
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
258669
MA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
258669
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110103576A
MA
Enumeration date
06/01/2011
Last updated
07/06/2022
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