Healthcare Provider Details

I. General information

NPI: 1740271725
Provider Name (Legal Business Name): DAVID E. NASH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 08/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MONTVALE AVE SUITE 502
STONEHAM MA
02180-3559
US

IV. Provider business mailing address

PO BOX 8609
BOSTON MA
02114-0036
US

V. Phone/Fax

Practice location:
  • Phone: 781-279-0971
  • Fax:
Mailing address:
  • Phone: 617-573-3635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number38672
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: