Provider Demographics
NPI:1114010196
Name:NAGEL, JAMES STEVAN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:STEVAN
Last Name:NAGEL
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:VA BOSTON, 1400 VFW PKWY
Mailing Address - Street 2:2C-126
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:06032-4927
Mailing Address - Country:US
Mailing Address - Phone:875-203-5928
Mailing Address - Fax:
Practice Address - Street 1:VA BOSTON, 1400 VFW PKWY
Practice Address - Street 2:2C-126
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:06032-4927
Practice Address - Country:US
Practice Address - Phone:875-203-5928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA542922085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology