Provider Demographics
NPI:1669404497
Name:NAGLER, DAVID B (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:NAGLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:169 PARK ROW
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2039
Mailing Address - Country:US
Mailing Address - Phone:207-729-5426
Mailing Address - Fax:207-725-2473
Practice Address - Street 1:169 PARK ROW
Practice Address - Street 2:SUITE 7
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2039
Practice Address - Country:US
Practice Address - Phone:207-729-5426
Practice Address - Fax:207-725-2473
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2014-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME0135212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME232630000Medicaid
ME042666OtherSTAR #
ME232630000Medicaid
MEMM9015Medicare ID - Type Unspecified