Henry S Nieder MD

NPI #1528265899 in Oak Bluffs, Massachusetts

Provider Information

NPI Number: 1528265899
Entity Type: Organization
Organization Name: Henry S Nieder MD
Primary Specialty: Internal Medicine
Enumeration Date: Jun 29, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 15 LINTON LANE
City: Oak Bluffs
State: Massachusetts
ZIP Code: 02557
Phone: (508) 693-0019

Authorized Official

Name: SHEILA SOUZA
Title: BILLING AGENCY CEO
Phone: (508) 548-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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