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Individual

TOBY NATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
41 NORTH RD, SUITE 202, BEDFORD, MA 01730-1037
(781) 275-2080
(781) 275-5543
Mailing address
41 NORTH RD, SUITE 202, BEDFORD, MA 01730-1037
(781) 275-2080
(781) 275-5543

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
37342
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2054728
MA
01
600421
TUFTS HEALTH PLAN
MA
01
B52009
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/06/2006
Last updated
07/08/2007
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