Individual
NIKOLAUS JOSEPH CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2370 YORK RD STE D1, JAMISON, PA 18929-1031
(215) 343-3900
Mailing address
7901 HENRY AVE APT C302, PHILADELPHIA, PA 19128-6075
(610) 416-5672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043776
PA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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