Individual
NANCY LEE CANTELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN STREET, WANG ACC 440, BOSTON, MA 02114
(617) 726-4464
(617) 643-4752
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
43998
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141917
—
MA
01
—
N01926
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/19/2005
Last updated
02/06/2013
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