Basic Information
| Provider Information | |||||||||
| NPI: | 1972034130 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAGIN | ||||||||
| FirstName: | PERRY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 BOSTON MEDICAL CENTER PLACE | ||||||||
| Address2: | MENINO BUILDING, DOWLING 3 SOUTH RESIDENT MAILBOXES | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6179834100 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 BOSTON MEDICAL CENTER PLACE | ||||||||
| Address2: | MENINO BUILDING, DOWLING 3 SOUTH RESIDENT MAILBOXES | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176386800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2017 | ||||||||
| LastUpdateDate: | 12/20/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 272420 | MA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.