MEDICARE: DR. EDWARD W NALBAND MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	54353	MA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	042297845	OTHER		TUFTS MEDICARE PREFERRED
12	J04486	OTHER		MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0016425	OTHER		NHP
2	042297845	OTHER	MA	HCVM
3	042297845	OTHER	MA	UNITED HEALTH CARE
4	042297845	OTHER	MA	GREAT WEST HEALTH CARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	042297845	OTHER		PHCS/MULTI-PLAN
7	042297845	OTHER		DOC FIRST
8	042297845	OTHER	MA	TRICARE
10	795578	OTHER		TUFTS
11	B10354101	OTHER		CIGNA
13	J04486	OTHER		BCBSMA
14	042297845	OTHER	MA	GIC UNICARE
15	34704	OTHER		FALLON
16	4218618	OTHER		AETNA
17	70534	OTHER		HARVARD PILGRIM

NPI Number	:	1396736062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD W NALBAND MD

Provider Business Mailing Address
First Line	:	143 LONGWATER DR
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1683
Country	:	US
Telephone Number	:	781-878-5200
Fax Number	:	781-871-2940

Provider Business Practice Location Address
First Line	:	143 LONGWATER DR
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1683
Country	:	US
Telephone Number	:	781-878-5200
Fax Number	:	781-871-2940

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	01/21/2014

143 LONGWATER DR , SOUTH SHORE MEDCAL CENTER, INC
NORWELL, MA
02061-1683

Practice Phone: 781-878-5200
Practice Fax: