Individual
ERIC JAMES NILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(781) 995-7077
Mailing address
43 HANCOCK ST, LEXINGTON, MA 02420-3433
(781) 995-7077
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
270618
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443473
—
IA
01
—
36963
WELLMARK BCBS
IA
Enumeration date
01/10/2006
Last updated
11/29/2018
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