Active NPIIndividual provider

Dr. Gary J Nielan

Pediatrics, Adolescent Medicine in Wilbraham, Massachusetts

NPI Number1568458479
Practice location
2207 Boston RD, Wilbraham, MA 01095-1155
Fax
413-596-2940
Last updated
March 7, 2023

Gary John Nielan is a Pediatrics, Adolescent Medicine based in Wilbraham, MA. Gary John Nielan practices in Wilbraham, MA. The NPI Number for Gary John Nielan is 1568458479 and holds a License No. 155058 (MA). The current practice location address for Gary John Nielan is 2207 Boston RD, Wilbraham, MA 01095-1155 and can be reached out via phone at 413-599-1201 and via fax at 413-596-2940.

Provider Profile Details

NPI Number
1568458479
Provider Name
Gary John Nielan
Provider Entity Type
Individual
Gender
Male
Address
2207 Boston RD, Wilbraham, MA 01095-1155
Phone Number
413-599-1201
Fax Number
413-596-2940
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2005
Last Update Date
March 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2207 Boston RD
Wilbraham, MA 01095-1155
Zip
01095-1155
Phone Number
413-599-1201
Fax Number
413-596-2940
Wilbraham, MA 01095Get directions →

Provider Business Mailing Address Details

Address
2207 Boston RD
Wilbraham, MA 01095-1155
City
Wilbraham
State
MA
Zip
01095-1155
Phone Number
413-599-1201
Fax Number
413-596-2940

License Information

License Number
155058
License State
MA
Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X · 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 Dr. Gary J Nielan?

The NPI number of Dr. Gary J Nielan is 1568458479. It was assigned on September 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary J Nielan?

Dr. Gary J Nielan is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in MA under license number 155058.

Where does Dr. Gary J Nielan practice?

The practice location is 2207 Boston RD, Wilbraham, MA 01095-1155. The office can be reached at 413-599-1201 (phone) or 413-596-2940 (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 1568458479 directly on the NPPES registry website.

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