Provider Demographics
NPI:1427035948
Name:NADELSON, NEAL W (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:W
Last Name:NADELSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:50 ROWE ST
Mailing Address - Street 2:STE 500
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3228
Mailing Address - Country:US
Mailing Address - Phone:781-979-3800
Mailing Address - Fax:781-662-2778
Practice Address - Street 1:50 ROWE ST
Practice Address - Street 2:STE 500
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3228
Practice Address - Country:US
Practice Address - Phone:781-979-3800
Practice Address - Fax:781-662-2778
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA44345207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110047498OtherRAILROAD MEDICARE
MA2070642Medicaid
MAB31116OtherBC/BS
MA2070642Medicaid
MACX0285Medicare PIN