Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Paul Fordham, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992597447

Nicholas Paul Fordham, MD is a Student in an Organized Health Care Education/Training Program in Jamaica Plain, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

170 Morton St
Jamaica Plain, MA 02130-3735
Phone: (617) 522-8110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 3018480 (MA)

Record details

NPI number1992597447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 20, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address221 Harvard St Apt 28, Brookline, MA 02446-5006

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