Individual
DR. DAVID MATTHEW NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 STANIFORD ST, 3RD FLOOR S50 3, BOSTON, MA 02114-2517
(617) 726-2875
(617) 726-6781
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42740
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
42740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061694
—
MA
01
—
724171
TUFTS HEALTH PLAN
MA
01
—
M09925
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
05/07/2008
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