Healthcare Provider Details

I. General information

NPI: 1447462122
Provider Name (Legal Business Name): NELL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 RAILROAD SQUARE
HAVERHILL MA
01832-5721
US

IV. Provider business mailing address

25 RAILROAD SQUARE
HAVERHILL MA
01832-5721
US

V. Phone/Fax

Practice location:
  • Phone: 978-556-5903
  • Fax: 978-556-8818
Mailing address:
  • Phone: 978-556-5903
  • Fax: 978-556-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ALFRED L ARCIDI
Title or Position: PRESIDENT
Credential: DDS
Phone: 978-556-5858