Individual
NELSON B GOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
159588
MA
207RN0300X
Nephrology Physician
60181795
WA
207RN0300X
Nephrology Physician
Primary
C161769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135933
—
MA
01
—
203754
TUFTS
MA
01
—
H25940
HARVARD PILGRIM HEALTHCAR
MA
01
—
J23570
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/17/2005
Last updated
12/17/2021
Update your record
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