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Individual
NICHOLAS P MARSICO
Active
Individual
NICHOLAS P MARSICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A86442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A864420
—
CA
01
—
1710057245
GROUP NPI
CA
05
—
GR0078580
—
CA
05
—
GR0078581
—
CA
05
—
GR0078582
—
CA
05
—
GR0078583
—
CA
Enumeration date
11/10/2006
Last updated
12/14/2007
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