Individual
DR. NICHOLAS KIAN MOLLANAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
800 SPRUCE STREET, 10TH FLOOR, PHILADELPHIA, PA 19107-5701
(941) 718-8997
Mailing address
3400 CIVIC CENTER BLVD, 1ST FLOOR, DERM, PHILADELPHIA, PA 19104-5127
(941) 718-8997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD467873
PA
Other
Enumeration date
03/31/2015
Last updated
01/08/2025
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