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Dr. Peter D Nicholas JR., MD
Specialist in Wyomissing, Pennsylvania
NPI 1730185505

Peter D Nicholas JR. is a Specialist based in Wyomissing, PA. Peter D Nicholas JR. practices in Wyomissing, PA and has the professional credentials of MD. The NPI Number for Peter D Nicholas JR. is 1730185505 and holds a License No. MD021072E (Pennsylvania).

The current practice location address for Peter D Nicholas JR. is 2760 Century Blvd, Wyomissing, PA and can be reached out via phone at 610-375-4251 and via fax at 610-375-6210.

Location: 2760 Century Blvd, Wyomissing, PA, 19610-3359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730185505
Provider Name
Peter D Nicholas JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2760 Century Blvd, Wyomissing, PA, 19610-3359
Phone Number
610-375-4251
Fax Number
610-375-6210
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0006369910001 05 PA
1730185505 01 PA NPI
institution
Provider Business Practice Location Address Details
Address
2760 Century Blvd
City
Wyomissing
State
Pennsylvania
Zip
19610-3359
Phone Number
610-375-4251
Fax Number
610-375-6210
person
Provider Business Mailing Address Details
Address
2760 Century Blvd
City
Wyomissing
State
Pennsylvania
Zip
19610-3359
Phone Number
610-375-4251
Fax Number
610-375-6210
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD021072E (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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