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Individual
DR. PHILIP GEOFFREY NICHOLSON JR.
Active
Individual
DR. PHILIP GEOFFREY NICHOLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD418596
PA
208M00000X
Hospitalist Physician
Primary
MD418596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001879036
—
PA
01
—
03124401
CAPITAL BLUE CROSS-WMG
PA
01
—
126511
UNISON-WMG
PA
01
—
1382427
HIGHMARK BLUE SHIELD
PA
01
—
1525786
GATEWAY
PA
01
—
15999
JOHNS HOPKINS
PA
01
—
20090446
AMERIHEALTH MERCY-WMG
PA
01
—
2073748000
AMERIHEALTH 65 PA
PA
01
—
2161248
MAMSI-WMG
PA
01
—
616204
CAREFIRST MD BCBS
MD
01
—
7873488
AETNA
PA
01
—
79007
GEISINGER
PA
Enumeration date
07/07/2006
Last updated
04/22/2022
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