Provider Demographics
NPI:1487649281
Name:ERTEL, ALAN NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:NEIL
Last Name:ERTEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4784
Mailing Address - Country:US
Mailing Address - Phone:781-646-7730
Mailing Address - Fax:781-646-2950
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE 302
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4784
Practice Address - Country:US
Practice Address - Phone:781-646-7730
Practice Address - Fax:781-646-2950
Is Sole Proprietor?:No
Enumeration Date:2005-09-18
Last Update Date:2021-02-10
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Provider Licenses
StateLicense IDTaxonomies
MA46628207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2089874Medicaid
MA2089874Medicaid