Healthcare Provider Details

I. General information

NPI: 1083807523
Provider Name (Legal Business Name): CLAUDIA M NADER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2007
Last Update Date: 03/17/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 NEVINS ST, SUITE 202 SEMC - MEDICAL SPECIALTIES PRACTICE
BRIGHTON MA
02135-3514
US

IV. Provider business mailing address

BMCHS PROVIDER ENROLLMENT 960 MASSACHUSETTS AVE FLR 2
BOSTON MA
02118
US

V. Phone/Fax

Practice location:
  • Phone: 617-779-6700
  • Fax: 617-779-6770
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number232088
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: