Provider Demographics
NPI:1114059979
Name:MOLIN, NINA RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:RACHEL
Last Name:MOLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 STATE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-3027
Mailing Address - Country:US
Mailing Address - Phone:413-664-4088
Mailing Address - Fax:413-663-6405
Practice Address - Street 1:725 NORTH ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-4109
Practice Address - Country:US
Practice Address - Phone:413-881-5427
Practice Address - Fax:413-496-6836
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80509261Q00000X
MAMA80509207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center