Papanicolaou, Nicholas

Papanicolaou, Nicholas is an individual health care provider with primary practice located at 3400 Spruce Street 1 Silverstein, Philadelphia PA 19104-4206. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Papanicolaou, Nicholas can be contacted via phone (215) 662-3005.

Contact Information

Primary practice address
3400 Spruce Street 1 Silverstein Philadelphia PA 19104-4206
Phone: (215) 662-3005
Fax: (215) 662-7011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X MD420420 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD420420 Pennsylvania

Profile Details

NPI number 1497781736
LBN Legal business name Papanicolaou, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated May 21st, 2012 - about 12 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 1497781736 NPPES
Pennsylvania MEDICAID 0019315660001

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