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Individual

ALLAN NINEBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
307 CONCORD AVE, CAMBRIDGE, MA 02138-1207
(617) 497-1484
Mailing address
307 CONCORD AVE, CAMBRIDGE, MA 02138-1207
(617) 497-1484

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46107
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144789
MA
Enumeration date
05/18/2006
Last updated
03/11/2010
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