Provider Demographics
NPI:1396736062
Name:NALBAND, EDWARD W (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:W
Last Name:NALBAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-871-2940
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-871-2940
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54353207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0016425OtherNHP
MA042297845OtherHCVM
MA042297845OtherUNITED HEALTH CARE
MA042297845OtherGREAT WEST HEALTH CARE
MA6193145Medicaid
042297845OtherPHCS/MULTI-PLAN
042297845OtherDOC FIRST
MA042297845OtherTRICARE
042297845OtherTUFTS MEDICARE PREFERRED
795578OtherTUFTS
B10354101OtherCIGNA
J04486OtherMEDICARE
J04486OtherBCBSMA
MA042297845OtherGIC UNICARE
34704OtherFALLON
4218618OtherAETNA
70534OtherHARVARD PILGRIM