Dr. Gary John Nielan --
Pediatric Adolescent Medicine | Male
Dr. Gary John Nielan -- is a Wilbraham, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Gary John Nielan -- is
2207 Boston Rd, Wilbraham, Massachusetts - 01095-1155. He can be contacted on phone at
413-599-1201 and fax number 413-596-2940.
Dr. Gary John Nielan -- is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gary John Nielan -- is
1568458479 which was assigned by NPPES on 26 Sep, 2005 and it was last updated on 07 Mar, 2023.
Dr. Gary John Nielan -- license number is
155058 for Pediatrics, Adolescent Medicine (2080A0000X) in Massachusetts.
Dr. Gary John Nielan -- specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Gary John Nielan -- basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Dr. Gary John Nielan -- |
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| Gender : | Male |
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Business Address:
Dr. Gary John Nielan -- 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 : | 2207 Boston Rd
Wilbraham, MA, 01095-1155
United States |
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| Phone Number : | 413-599-1201 |
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| Fax Number : | 413-596-2940 |
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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 : | 1568458479 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Sep, 2005 |
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| Last Updated On : | 07 Mar, 2023 |
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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 Dr. Gary John Nielan -- are as mentioned. Primary taxonomy code for Dr. Gary John Nielan -- is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | 155058 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gary John Nielan -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000008141 | Other (non-Medicare) | | Boston Med Center Health |
| 010155058MA01 | Other (non-Medicare) | | Anthem BCBS |
| 102170 | Other (non-Medicare) | | Cigna |
| 1204585 | Other (non-Medicare) | | United Healthcare |
| 155058 | Other (non-Medicare) | | MA license |
| 155058 | Other (non-Medicare) | | Tufts |
| 1550588404 | Other (non-Medicare) | | Connecticare |
| 2017078 | Other (non-Medicare) | | Aetna/USHC |
| 201928 | Other (non-Medicare) | | Harvard Pilgrim |
| 23378 | Other (non-Medicare) | | Health New England |
| 28036 | Other (non-Medicare) | | Childrens Medical Securit |
| 3182916 | MEDICAID | MA | |
| 353451 | Other (non-Medicare) | | Healthsource MA NH |
| 975887 | Other (non-Medicare) | | Network Health |
| G54303 | MEDICARE UPIN | | |
| J18133 | Other (non-Medicare) | | BCBS |
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 : | 2207 Boston Rd
Wilbraham, MA, 01095-1155
United States |
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| Phone Number : | 413-599-1201 |
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| Fax Number : | 413-596-2940 |
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Business Location:
Patients can refer following map for directions to
Dr. Gary John Nielan -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.