Organization
HENRY S NIEDER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SOUZA (BILLING AGENCY CEO)
(508) 548-8989
Entity
Organization
Contact information
Practice address
15 LINTON LANE, OAK BLUFFS, MA 02557
(508) 693-0019
Mailing address
PO BOX 905, FALMOUTH, MA 02541-0905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59248
MA
Other
Enumeration date
06/29/2007
Last updated
06/26/2008
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