Provider Demographics
NPI:1306152780
Name:ALBERTO NEDER MD LTD
Entity type:Organization
Organization Name:ALBERTO NEDER MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-636-7524
Mailing Address - Street 1:2 INDIAN TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4353
Mailing Address - Country:US
Mailing Address - Phone:508-636-7524
Mailing Address - Fax:508-636-7524
Practice Address - Street 1:589 S 1ST ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-5716
Practice Address - Country:US
Practice Address - Phone:508-996-3147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1524072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3168239Medicaid
G51672Medicare UPIN
A22813Medicare PIN