Nishiyama, Stephen Takeo
Nishiyama, Stephen Takeo is an individual health care provider with primary practice located at 40 Second Ave Ste 400, Waltham MA 02451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nishiyama, Stephen Takeo can be contacted via phone (781) 487-4340.Contact Information
Primary practice address
40 Second Ave Ste 400
Waltham MA 02451
Phone: (781) 487-4340
Fax: (781) 487-4341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 81412 | Massachusetts |
Profile Details
| NPI number | 1710978622 |
|---|---|
| LBN Legal business name | Nishiyama, Stephen Takeo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jan 3rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710978622 | NPPES |
| Massachusetts | Other | 081412 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J31669 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3141683 | TUFTS HEALTH PLAN |
Popular Providers
-
Wang, Chi Shiang
20 Hope Avenue Suite 208, Waltham MA 02453 -
Banker, Heena
20 Hope Ave Suite G14, Waltham MA 02453-2721 -
Greenspan, Peter Tebet
40 2Nd Ave Mass General West Medical Group Ste 400, Waltham MA 02451-1137 -
Fusunyan, Robert D
40 2Nd Avenue Suite 340, Waltham MA 02451-1132 -
Newton, Alice Whittier
465 Waverley Oaks Rd Suite 100, Waltham MA 02452-8438 -
Katz, Aubrey J
40 Second Ave Mass General West, Waltham MA 02451 -
Dominguez, David Y
465 Waverley Oaks Rd Ste 100 , Waltham MA 02452-8484 -
Biller, Jeffrey A
40 Second Ave Ste 340 Mass General West, Waltham MA 02451