Dr. Leif George Nordstrom
M.D. | Pediatric Adolescent Medicine | Male
Dr. Leif George Nordstrom, M.D. is a East Longmeadow, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Leif George Nordstrom is
294 N Main St, Suite 101, East Longmeadow, Massachusetts - 01028-1838. He can be contacted on phone at
413-525-1870 and fax number 413-525-3883.
Dr. Leif George Nordstrom is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Leif George Nordstrom is
1538147129 which was assigned by NPPES on 04 Jan, 2006 and it was last updated on 05 Mar, 2012.
Dr. Leif George Nordstrom license number is
45445 for Pediatrics Adolescent Medicine (2080A0000X) in Massachusetts.
Dr. Leif George Nordstrom 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. Leif George Nordstrom 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. Leif George Nordstrom |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Leif George Nordstrom 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 : | 294 N Main St, Suite 101
East Longmeadow, MA, 01028-1838
United States |
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| Phone Number : | 413-525-1870 |
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| Fax Number : | 413-525-3883 |
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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 : | 1538147129 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2006 |
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| Last Updated On : | 05 Mar, 2012 |
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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. Leif George Nordstrom are as mentioned. Primary taxonomy code for Dr. Leif George Nordstrom, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 45445 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Leif George Nordstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 9732314 | MEDICAID | MA | |
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 : | 294 N Main St, Suite 101
East Longmeadow, MA, 01028-1838
United States |
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| Phone Number : | 413-525-1870 |
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| Fax Number : | 413-525-3883 |
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Business Location:
Patients can refer following map for directions to
Dr. Leif George Nordstrom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.