Provider Demographics
NPI:1982651774
Name:NURNBERGER, MATTHIAS M (MD)
Entity Type:Individual
Prefix:
First Name:MATTHIAS
Middle Name:M
Last Name:NURNBERGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-1752
Practice Address - Street 1:463 WORCESTER RD
Practice Address - Street 2:SUITE 206
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5356
Practice Address - Country:US
Practice Address - Phone:508-598-9300
Practice Address - Fax:508-598-9290
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2023-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA154538207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400297326Medicare PIN