Nia, Sam

Nia, Sam is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Nia, Sam can be contacted via phone (508) 334-3271.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 272485 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 272485 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 272485 Massachusetts

Profile Details

NPI number 1407121445
LBN Legal business name Nia, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2012
Last updated May 20th, 2021 - about 3 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 1407121445 NPPES
Massachusetts MEDICAID 110126580A

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