Individual
DR. STEVEN LOUIS NICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 HOLLY LN APT 2B, CHESTNUT HILL, MA 02467-2155
(617) 734-3016
(617) 739-8286
Mailing address
26 HOLLY LN APT 2B, CHESTNUT HILL, MA 02467-2155
(617) 734-3016
(617) 739-8286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32763
MA
2084P0800X
Psychiatry Physician
Primary
32763
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032763
TUFTS HEALTH PLAN
MA
05
—
2012847
—
MA
Enumeration date
04/19/2006
Last updated
10/14/2022
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