Wanko Agassy, Nicodeme

Wanko Agassy, Nicodeme is an individual health care provider with primary practice located at 1 Robert Wood Johnson Pl , New Brunswick NJ 08901-1928. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Wanko Agassy, Nicodeme can be contacted via phone (240) 715-7885.

Contact Information

Primary practice address
1 Robert Wood Johnson Pl New Brunswick NJ 08901-1928
Phone: (240) 715-7885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA11170500 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1477044550
LBN Legal business name Wanko Agassy, Nicodeme
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2018
Last updated Jul 16th, 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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