Individual provider · Type 1 NPI

Nicholas Paul Fordham, MD

Student in an Organized Health Care Education/Training Program · Jamaica Plain, MA

NPI number 1992597447 Active

Practice location

170 Morton St
Jamaica Plain, MA 02130-3735

Call (617) 522-8110 Map

Mailing address

221 Harvard St Apt 28
Brookline, MA 02446-5006

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3018480 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992597447

Nicholas Paul Fordham, MD's National Provider Identifier is 1992597447, issued on May 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica Plain, MA. The record was last updated on May 20, 2025.