Alisa Louise Niksch
MD | Pediatric Cardiology | Female
Alisa Louise Niksch, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Alisa Louise Niksch is
750 Washington St, The Floating Hospital For Children, #313, Boston, Massachusetts - 02111-1526. She can be contacted on phone at
617-636-5067 and fax number 617-636-2354.
Alisa Louise Niksch is a sole proprietor of her business.
NPI number (Unique professional ID) for Alisa Louise Niksch is
1336232255 which was assigned by NPPES on 02 Oct, 2006 and it was last updated on 11 Feb, 2011.
Alisa Louise Niksch license number is
243747 for Pediatrics Pediatric Cardiology (2080P0202X) in Massachusetts.
Alisa Louise Niksch provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Alisa Louise Niksch basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Alisa Louise Niksch |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Alisa Louise Niksch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 750 Washington St, The Floating Hospital For Children, #313
Boston, MA, 02111-1526
United States |
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| Phone Number : | 617-636-5067 |
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| Fax Number : | 617-636-2354 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336232255 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Oct, 2006 |
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| Last Updated On : | 11 Feb, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alisa Louise Niksch are as mentioned. Primary taxonomy code for Alisa Louise Niksch, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | No | 036116468 | IL |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 243747 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Alisa Louise Niksch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 243747 | MEDICAID | MA | |
| 036116468 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 750 Washington St, The Floating Hospital For Children, #313
Boston, MA, 02111-1526
United States |
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| Phone Number : | 617-636-5067 |
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| Fax Number : | 617-636-2354 |
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Business Location:
Patients can refer following map for directions to
Alisa Louise Niksch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.