Cardoos, Nathan C

Cardoos, Nathan C is an individual health care provider with primary practice located at 915 Commonwealth Ave Rear , Boston MA 02215-1394. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Cardoos, Nathan C can be contacted via phone (617) 358-3400.

Contact Information

Primary practice address
915 Commonwealth Ave Rear Boston MA 02215-1394
Phone: (617) 358-3400
Fax: (617) 358-3710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 258669 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 258669 Massachusetts

Profile Details

NPI number 1083908685
LBN Legal business name Cardoos, Nathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2011
Last updated Jul 6th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083908685 NPPES
Massachusetts MEDICAID 110103576A

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