Provider Demographics
NPI:1821094715
Name:NADEL, RONALD S (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:NADEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3455 MAIN ST
Mailing Address - Street 2:STE 5
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1147
Mailing Address - Country:US
Mailing Address - Phone:413-733-9600
Mailing Address - Fax:413-732-6534
Practice Address - Street 1:3455 MAIN ST
Practice Address - Street 2:STE 5
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1147
Practice Address - Country:US
Practice Address - Phone:413-733-9600
Practice Address - Fax:413-732-6534
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2008-04-24
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Provider Licenses
StateLicense IDTaxonomies
MA28852207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2885202202OtherCONNECTICARE INC
0304172OtherUNITED HEALTH CARE
070006824OtherRAILROAD MEDICARE
MANAC04404OtherBLUE CROSS BLUE SHIELD
14674OtherHEALTH NEW ENGLAND
MA028852OtherTUFTS HEALTH PLANS
B73440Medicare UPIN
CT2885202202OtherCONNECTICARE INC