Active NPIIndividual provider

Nathan C Cardoos, MD

Family Medicine, Sports Medicine in Boston, Massachusetts

NPI Number1083908685
Practice location
915 Commonwealth Ave Rear, Boston, MA 02215-1394
Fax
617-358-3710
Last updated
July 6, 2022

Nathan C Cardoos is a Family Medicine, Sports Medicine based in Boston, MA. Nathan C Cardoos practices in Boston, MA and has the professional credentials of MD. The NPI Number for Nathan C Cardoos is 1083908685 and holds a License No. 258669 (MA). The current practice location address for Nathan C Cardoos is 915 Commonwealth Ave Rear, Boston, MA 02215-1394 and can be reached out via phone at 617-358-3400 and via fax at 617-358-3710.

Provider Profile Details

NPI Number
1083908685
Provider Name
Nathan C Cardoos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
915 Commonwealth Ave Rear, Boston, MA 02215-1394
Phone Number
617-358-3400
Fax Number
617-358-3710
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2011
Last Update Date
July 6, 2022
Certification Date
July 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
915 Commonwealth Ave Rear
Boston, MA 02215-1394
City
Boston
Zip
02215-1394
Phone Number
617-358-3400
Fax Number
617-358-3710
Boston, MA 02215Get directions →

Provider Business Mailing Address Details

Address
801 Albany St Fl G
Boston, MA 02119-3791
City
Boston
State
MA
Zip
02119-3791

License Information

License Number (1)
258669
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
258669
License State (2)
MA
Taxonomy (2)
Family Medicine, Sports Medicine · 207QS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nathan C Cardoos, MD?

The NPI number of Nathan C Cardoos, MD is 1083908685. It was assigned on June 1, 2011 and is currently active in the NPPES registry.

What is the specialty of Nathan C Cardoos, MD?

Nathan C Cardoos, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in MA under license number 258669.

Where does Nathan C Cardoos, MD practice?

The practice location is 915 Commonwealth Ave Rear, Boston, MA 02215-1394. The office can be reached at 617-358-3400 (phone) or 617-358-3710 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083908685 directly on the NPPES registry website.

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