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Search › Massachusetts › 390200000X

Alex Nickerson

NPI 1053283408 · on the registry since 2025

Practice

Address
136 Harrison Ave
Boston, MA 02111
Phone
(617) 636-6613
Organisation at this address
Tufts University School Of Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts