Individual
LINDA MARIE NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 WARREN STREET, BRIGHTON, MA 02135
(617) 779-1500
(617) 779-1480
Mailing address
30 WARREN STREET, BRIGHTON, MA 02135
(617) 779-1500
(617) 779-1480
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095495
—
MA
Enumeration date
12/06/2005
Last updated
07/08/2007
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