Provider Demographics
NPI:1104613918
Name:IWASAKA-NEDER, JADE (MD, MPH)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:IWASAKA-NEDER
Suffix:
Gender:
Credentials:MD, MPH
Other - Prefix:
Other - First Name:JADE
Other - Middle Name:BEATRIZ
Other - Last Name:IWASAKA NEDER STAVROPULOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:266 WAVERLEY ST APT 349
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-7622
Mailing Address - Country:US
Mailing Address - Phone:857-424-7886
Mailing Address - Fax:
Practice Address - Street 1:115 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6358
Practice Address - Country:US
Practice Address - Phone:508-383-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program