Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN TAKEO NISHIYAMA, MD
ActivePediatrics · WALTHAM, MA
Registration Details
- NPI Number
- 1710978622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.475055258117 yrs)
- Last Updated
- Jan 3, 2013
- License
-
81412 (MA)
Practice Information
- Address
-
40 SECOND AVESTE 400WALTHAM, MA, 02451Browse MA providers · Browse ZIP 02451
- Phone
- 7814874340
- Fax
- 7814874341
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WALTHAM, MA
| Name | Credential | NPI |
|---|---|---|
| DR. PETER TEBET GREENSPAN | MD | 1295725885 |
| DR. SHARON E SMITH | MD | 1760472211 |
| DR. VICTORIA R MCEVOY | MD | 1568453181 |
| DR. BETH ANN MCCABE | MD | 1114908902 |
| DR. ALICE WHITTIER NEWTON | MD | 1558345835 |
| DR. JONATHAN PHILIP WINICKOFF | MD MPH | 1720049760 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.