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Mr. Jonathan Nidock, LMT
Specialist in Philadelphia, Pennsylvania
NPI 1558636043

Jonathan Nidock is a Specialist based in Philadelphia, PA. Jonathan Nidock practices in Philadelphia, PA and has the professional credentials of LMT. The NPI Number for Jonathan Nidock is 1558636043 and holds a License No. MSG001159 (Pennsylvania).

The current practice location address for Jonathan Nidock is 9 E Moreland Ave, Philadelphia, PA and can be reached out via phone at 267-254-4712.

Location: 9 E Moreland Ave, Philadelphia, PA, 19118-4411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558636043
Provider Name
Jonathan Nidock
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
9 E Moreland Ave, Philadelphia, PA, 19118-4411
Phone Number
267-254-4712
Fax Number
Provider Enumeration Date
03/15/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9 E Moreland Ave
City
Philadelphia
State
Pennsylvania
Zip
19118-3512
Phone Number
267-254-4712
Fax Number
person
Provider Business Mailing Address Details
Address
9 E Moreland Ave
City
Philadelphia
State
Pennsylvania
Zip
19118-3512
Phone Number
267-254-4712
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MSG001159 (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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