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Dr. Stephen Takeo Nishiyama, MD
Pediatrics Physician in Waltham, Massachusetts
NPI 1710978622

Stephen Takeo Nishiyama is a Pediatrics Physician based in Charlestown, MA. Stephen Takeo Nishiyama practices in Waltham, MA and has the professional credentials of MD. The NPI Number for Stephen Takeo Nishiyama is 1710978622 and holds a License No. 81412 (Massachusetts).

The current practice location address for Stephen Takeo Nishiyama is 40 Second Ave, Waltham, MA and can be reached out via phone at 781-487-4340 and via fax at 781-487-4341.

Location: 40 Second Ave, Waltham, MA, 02129-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710978622
Provider Name
Stephen Takeo Nishiyama
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
40 Second Ave, Waltham, MA, 02129-9142
Phone Number
781-487-4340
Fax Number
781-487-4341
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
081412 01 MA TUFTS HEALTH PLAN
J31669 01 MA BCBS MA
3141683 05 MA
institution
Provider Business Practice Location Address Details
Address
40 Second Ave
City
Waltham
State
Massachusetts
Zip
02451
Phone Number
781-487-4340
Fax Number
781-487-4341
person
Provider Business Mailing Address Details
Address
40 Second Ave
City
Waltham
State
Massachusetts
Zip
02451
Phone Number
781-487-4340
Fax Number
781-487-4341
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
81412 (Massachusetts)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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