Individual
HENRY S NIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOSPITAL ROAD, OAK BLUFFS, MA 02557-1477
(508) 693-0410
(508) 693-5971
Mailing address
ONE HOSPITAL ROAD, P.O. BOX 1477, OAK BLUFFS, MA 02557-1477
(508) 693-0410
(508) 693-5971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59248
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3033112
—
MA
01
—
70181
HARVARD PILGRIM
MA
01
—
718897
TUFTS HEALTH
MA
Enumeration date
06/14/2006
Last updated
07/27/2022
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