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Individual

JACOB D NUDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 ALBANY STREET, SUITE 3B, SHAPIRO BLDG., BOSTON, MA 02118
(617) 414-8052
(617) 638-8053
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
277165
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110117210A
MA
05
3143020
NH
Enumeration date
04/01/2016
Last updated
10/14/2025
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