Michael Erdil, MD

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

45281 Issued in MA

Practice address

2 Mount Royal Ave Ste 410
Marlborough, MA 01752-1976

Phone

(508) 251-7260

Fax

(508) 251-7265

NPI assigned

Nov 6, 2006

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1194894154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOUNT ROYAL AVE STE 410",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521976",
            "telephone_number": "508-251-7260",
            "fax_number": "508-251-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOUNT ROYAL AVE STE 410",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521976",
            "telephone_number": "508-251-7260",
            "fax_number": "508-251-7265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Mount Royal Ave Ste 50",
            "address_purpose": "LOCATION",
            "city": "Marlborough",
            "state": "MA",
            "postal_code": "017521921",
            "country_code": "US",
            "telephone_number": "508-251-7260",
            "fax_number": "508-251-7265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Hazard Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824520",
            "country_code": "US",
            "telephone_number": "860-763-7668",
            "fax_number": "860-763-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDIL",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CT",
            "license": "023596",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MA",
            "license": "45281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preventive Medicine/Occupational Environmental Medicine Physician in Marlborough, MA
• Providers in Marlborough, MA by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.