Adzick, Nick Scott

Adzick, Nick Scott is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Adzick, Nick Scott can be contacted via phone (215) 590-2730.

Contact Information

Primary practice address
3401 Civic Center Blvd Philadelphia PA 19104-4319
Phone: (215) 590-2730
Fax: (215) 590-4875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD055694L Pennsylvania

Profile Details

NPI number 1518055979
LBN Legal business name Adzick, Nick Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 24th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518055979 NPPES
Pennsylvania MEDICAID 001496572

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