Provider Demographics
NPI:1457333148
Name:SANDRA M NAGLER, M.D., P.C
Entity Type:Organization
Organization Name:SANDRA M NAGLER, M.D., P.C
Other - Org Name:NORTHERN MIDDLESEX WOMENS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-664-5979
Mailing Address - Street 1:21 MAIN ST
Mailing Address - Street 2:STE 3B
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2286
Mailing Address - Country:US
Mailing Address - Phone:978-664-5979
Mailing Address - Fax:978-664-0689
Practice Address - Street 1:21 MAIN ST
Practice Address - Street 2:3B
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-2286
Practice Address - Country:US
Practice Address - Phone:978-664-5979
Practice Address - Fax:978-664-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81409207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9783369Medicaid
MA9783369Medicaid