Alan N. Ertel, MD, PC
Organization Active NPI Specialist · Arlington, MA
NPI 1013034768 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013034768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 46628 (MA)
- Legal business name
- ALAN N. ERTEL, MD, PC
- Practice address
- 22 Mill St
Suite 302
Arlington, MA 02476-4784 - Phone
- (781) 646-7730
- Fax
- (781) 646-2950
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan N Ertel, MD
- Title
- President
- Phone
- (781) 646-7730
Practitioners 1
-
Alan Neil Ertel, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 46628 | MA | Yes |
Addresses
Primary practice location
22 Mill St
Suite 302
Arlington, MA 02476-4784
Mailing address
22 Mill Street
Suite 302
Arlington, MA 02476-4744
Phone (781) 646-7730
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089874 | Medicaid | MA |
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- Pamela Jean Alden
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All providers in Arlington, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.