Provider Demographics
NPI:1447462122
Name:NELL, INC.
Entity type:Organization
Organization Name:NELL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARCIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:978-556-5858
Mailing Address - Street 1:25 RAILROAD SQUARE
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-5721
Mailing Address - Country:US
Mailing Address - Phone:978-556-5903
Mailing Address - Fax:978-556-8818
Practice Address - Street 1:25 RAILROAD SQUARE
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-5721
Practice Address - Country:US
Practice Address - Phone:978-556-5903
Practice Address - Fax:978-556-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0000359554OtherBLUECROSS BLUESHIELD
MA1530356Medicaid
MA0603990001Medicare ID - Type Unspecified