Provider Demographics
NPI:1063403574
Name:NADEL, ALLAN STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:STEVEN
Last Name:NADEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:978-882-6767
Mailing Address - Fax:978-882-6775
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:YAW 4 VINCENT OB GYN SERVICE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-2229
Practice Address - Fax:617-724-3498
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2012-11-16
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Provider Licenses
StateLicense IDTaxonomies
MA71567207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA729419OtherTUFTS HEALTH PLAN
MAJ03664OtherBCBS MA
MA6180477Medicaid
MAJ03664OtherBCBS MA
B74479Medicare UPIN