# NICHOLAS O BIASOTTO DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629401435
- **Authorized official:** NICHOLAS BIASOTTO (OWNER)
- **Authorized official phone:** (302) 998-1284

## Contact information

- **Practice address:** 620 STANTON CHRISTIANA RD, STE 205, NEWARK, DE 19713-2133
- **Practice address phone:** (302) 998-1284
- **Practice address fax:** (302) 998-1267
- **Mailing address:** 620 STANTON CHRISTIANA RD, STE 205, NEWARK, DE 19713-2133
- **Mailing address phone:** (302) 998-1284
- **Mailing address fax:** (302) 998-1267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C2-0002000 | DE | Yes |

## Other

- **Enumeration date:** 08/15/2013
- **Last updated:** 08/15/2013