Individual
DR. EDWARD G NEILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6394
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
210639
MA
207SG0202X
Clinical Biochemical Genetics Physician
210639
MA
208000000X
Pediatrics Physician
210639
MA
Other
Enumeration date
05/01/2006
Last updated
03/24/2023
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