Individual
DEBORAH ANN NAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVENUE, STONEMAN 9, BOSTON, MA 02215-5400
(617) 667-4159
(617) 667-2978
Mailing address
330 BROOKLINE AVENUE, STONEMAN 9, BOSTON, MA 02215-5400
(617) 667-4179
(617) 667-2978
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
229284
MA
208C00000X
Colon & Rectal Surgery Physician
MA079886
NJ
208C00000X
Colon & Rectal Surgery Physician
MD043640L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229284
MASS MEDICAL LICENSING BOARD
MA
Enumeration date
06/23/2006
Last updated
10/19/2012
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