Basic Information
| Provider Information | |||||||||
| NPI: | 1396736062 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NALBAND | ||||||||
| FirstName: | EDWARD | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 143 LONGWATER DR | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
| FaxNumber: | 7818712940 | ||||||||
| Practice Location | |||||||||
| Address1: | 143 LONGWATER DR | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
| FaxNumber: | 7818712940 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2005 | ||||||||
| LastUpdateDate: | 01/21/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 54353 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0016425 | 01 | NHP | OTHER | 042297845 | 01 | MA | HCVM | OTHER | 042297845 | 01 | MA | UNITED HEALTH CARE | OTHER | 042297845 | 01 | MA | GREAT WEST HEALTH CARE | OTHER | 6193145 | 05 | MA | MEDICAID | 042297845 | 01 | PHCS/MULTI-PLAN | OTHER | 042297845 | 01 | DOC FIRST | OTHER | 042297845 | 01 | MA | TRICARE | OTHER | 042297845 | 01 | TUFTS MEDICARE PREFERRED | OTHER | 795578 | 01 | TUFTS | OTHER | B10354101 | 01 | CIGNA | OTHER | J04486 | 01 | MEDICARE | OTHER | J04486 | 01 | BCBSMA | OTHER | 042297845 | 01 | MA | GIC UNICARE | OTHER | 34704 | 01 | FALLON | OTHER | 4218618 | 01 | AETNA | OTHER | 70534 | 01 | HARVARD PILGRIM | OTHER |