person
Dr. Gary John Nielan
Pediatric Adolescent Medicine Physician in Wilbraham, Massachusetts
NPI 1568458479

Gary John Nielan is a Pediatric Adolescent Medicine Physician based in Wilbraham, MA and is specialized in Adolescent Medicine. Gary John Nielan practices in Wilbraham, MA. The NPI Number for Gary John Nielan is 1568458479 and holds a License No. 155058 (Massachusetts).

The current practice location address for Gary John Nielan is 2207 Boston Rd, Wilbraham, MA and can be reached out via phone at 413-599-1201 and via fax at 413-596-2940.

Location: 2207 Boston Rd, Wilbraham, MA, 01095-1155
person
Provider Profile Details
NPI Number
1568458479
Provider Name
Gary John Nielan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2207 Boston Rd, Wilbraham, MA, 01095-1155
Phone Number
413-599-1201
Fax Number
413-596-2940
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2017078 01 AETNA/USHC
155058 01 MA LICENSE
23378 01 HEALTH NEW ENGLAND
28036 01 CHILDRENS MEDICAL SECURIT
353451 01 HEALTHSOURCE MA NH
J18133 01 BCBS
102170 01 CIGNA
1550588404 01 CONNECTICARE
3182916 05 MA
1204585 01 UNITED HEALTHCARE
155058 01 TUFTS
975887 01 NETWORK HEALTH
010155058MA01 01 ANTHEM BCBS
201928 01 HARVARD PILGRIM
000000008141 01 BOSTON MED CENTER HEALTH
institution
Provider Business Practice Location Address Details
Address
2207 Boston Rd
City
State
Zip
01095-1155
Phone Number
413-599-1201
Fax Number
413-596-2940
person
Provider Business Mailing Address Details
Address
2207 Boston Rd
City
State
Zip
01095-1155
Phone Number
413-599-1201
Fax Number
413-596-2940
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
155058 (Massachusetts)
Definition
A pediatrician who 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.
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