Organization
LUCETTE NADLE DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCETTE NADLE DO (OWNER)
(508) 366-9686
Entity
Organization
Contact information
Practice address
160 E MAIN ST, STE 1E, WESTBOROUGH, MA 01581-1758
(508) 366-9686
(508) 366-9435
Mailing address
160 E MAIN ST, STE 1E, WESTBOROUGH, MA 01581-1758
(508) 366-9686
(508) 366-9435
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
55679
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9731041
—
MA
01
—
M19169
MA BLUE SHIELD
MA
Enumeration date
12/31/2007
Last updated
12/31/2007
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