Individual
MARC L NIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 HOPEDALE ST, HOPEDALE, MA 01747-1700
(508) 473-6333
(508) 634-0570
Mailing address
54 HOPEDALE ST, HOPEDALE, MA 01747-1700
(508) 473-6333
(508) 634-0570
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
47655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000025365
RI BCBS
RI
01
—
0012997
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0184357
—
MA
01
—
1900202
UNITED HEALTH CARE
MA
01
—
27845
HARVARD PILGRIM
MA
01
—
4677
FALLON
MA
01
—
70458
AETNA
MA
01
—
717468
TUFTS
MA
Enumeration date
08/13/2006
Last updated
07/08/2007
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