Individual
JOHN NADOLNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 937-4522
Mailing address
12 GILL ST, WOBURN, MA 01801-1728
(781) 937-4522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54880
MA
207R00000X
Internal Medicine Physician
Primary
54880
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588683494
MEDICARE
—
Enumeration date
07/19/2006
Last updated
02/10/2025
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