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Rudy J Nicolas, MD
Specialist in State College, Pennsylvania
NPI 1669403754

Rudy J Nicolas is a Specialist based in State College, PA. Rudy J Nicolas practices in State College, PA and has the professional credentials of MD. The NPI Number for Rudy J Nicolas is 1669403754 and holds a License No. (Pennsylvania).

The current practice location address for Rudy J Nicolas is 611 University Dr, State College, PA and can be reached out via phone at 814-234-2600 and via fax at 814-867-5285.

Location: 611 University Dr, State College, PA, 16801-6552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669403754
Provider Name
Rudy J Nicolas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
611 University Dr, State College, PA, 16801-6552
Phone Number
814-234-2600
Fax Number
814-867-5285
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
683230 05 PA
institution
Provider Business Practice Location Address Details
Address
611 University Dr
City
State College
State
Pennsylvania
Zip
16801-6552
Phone Number
814-234-2600
Fax Number
814-867-5285
person
Provider Business Mailing Address Details
Address
611 University Dr
City
State College
State
Pennsylvania
Zip
16801-6552
Phone Number
814-234-2600
Fax Number
814-867-5285
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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