Individual
STEPHEN HAROLD NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
777 NORTH ST, RENAL DIALYSIS, PITTSFIELD, MA 01201
(413) 447-2764
(413) 447-2765
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201
(413) 447-2752
(413) 496-6836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0320000487
VT
207RN0300X
Nephrology Physician
Primary
80111
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3128466
—
MA
Enumeration date
05/03/2006
Last updated
08/18/2010
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