Provider Demographics
NPI:1366477382
Name:SOBEL, NANCY B (MD, PHD, MBA)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:B
Last Name:SOBEL
Suffix:
Gender:F
Credentials:MD, PHD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BEACON ST
Mailing Address - Street 2:APT 5
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-1416
Mailing Address - Country:US
Mailing Address - Phone:617-227-0210
Mailing Address - Fax:
Practice Address - Street 1:35 BEACON ST
Practice Address - Street 2:APT 5
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-1416
Practice Address - Country:US
Practice Address - Phone:617-680-6476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71062207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology