MEDICARE: DR. ALAN NEIL ERTEL MD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	46628	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487649281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN NEIL ERTEL MD

Provider Business Mailing Address
First Line	:	22 MILL ST
Second Line	:	SUITE 302
City	:	ARLINGTON
State	:	MA
Zip	:	02476-4784
Country	:	US
Telephone Number	:	781-646-7730
Fax Number	:	781-646-2950

Provider Business Practice Location Address
First Line	:	22 MILL ST
Second Line	:	SUITE 302
City	:	ARLINGTON
State	:	MA
Zip	:	02476-4784
Country	:	US
Telephone Number	:	781-646-7730
Fax Number	:	781-646-2950

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

Provider Enumeration Date	:	09/18/2005
Last Update Date	:	02/10/2021

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