Individual
DR. GARY JOHN NIELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2207 BOSTON RD, WILBRAHAM, MA 01095-1155
(413) 599-1201
(413) 596-2940
Mailing address
2207 BOSTON RD, WILBRAHAM, MA 01095-1155
(413) 599-1201
(413) 596-2940
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
155058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008141
BOSTON MED CENTER HEALTH
—
01
—
010155058MA01
ANTHEM BCBS
—
01
—
102170
CIGNA
—
01
—
1204585
UNITED HEALTHCARE
—
01
—
155058
MA LICENSE
—
01
—
1550588404
CONNECTICARE
—
01
—
2017078
AETNA/USHC
—
01
—
201928
HARVARD PILGRIM
—
01
—
23378
HEALTH NEW ENGLAND
—
01
—
28036
CHILDRENS MEDICAL SECURIT
—
05
—
3182916
—
MA
01
—
353451
HEALTHSOURCE MA NH
—
01
—
975887
NETWORK HEALTH
—
01
—
J18133
BCBS
—
Enumeration date
09/26/2005
Last updated
03/07/2023
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