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Carlo G Nicolis, MD
Specialist in Media, Pennsylvania
NPI 1841226909

Carlo G Nicolis is a Specialist based in Phila, PA. Carlo G Nicolis practices in Media, PA and has the professional credentials of MD. The NPI Number for Carlo G Nicolis is 1841226909 and holds a License No. MD432640 (Pennsylvania).

The current practice location address for Carlo G Nicolis is 200 State Street, Media, PA and can be reached out via phone at 610-521-4112 and via fax at 610-521-6864.

Location: 200 State Street, Media, PA, 19195-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841226909
Provider Name
Carlo G Nicolis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 State Street, Media, PA, 19195-0001
Phone Number
610-521-4112
Fax Number
610-521-6864
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD432640 01 PA LIC NUMBER
institution
Provider Business Practice Location Address Details
Address
200 State Street
City
Media
State
Pennsylvania
Zip
19063-3434
Phone Number
610-521-4112
Fax Number
610-521-6864
person
Provider Business Mailing Address Details
Address
200 State Street
City
Media
State
Pennsylvania
Zip
19063-3434
Phone Number
610-521-4112
Fax Number
610-521-6864
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD432640 (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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