Individual
MR. NATHANIEL B SIDES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SUMMER ST, KINGSTON, MA 02364-1277
(781) 585-1325
(781) 585-1310
Mailing address
PO BOX 57, KINGSTON, MA 02364-0057
(781) 585-1326
(781) 585-1310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19678
MA
Other
Enumeration date
08/30/2005
Last updated
07/08/2007
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