Individual
DR. DEBORAH J NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 W ROLLING CROSSROADS, SUITE 104, CATONSVILLE, MD 21228-6208
(410) 719-9630
(410) 719-9672
Mailing address
2 W ROLLING CROSSROADS, SUITE 104, CATONSVILLE, MD 21228-6208
(410) 719-9630
(410) 719-9672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0033702
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28361100
—
MD
Enumeration date
12/21/2006
Last updated
09/25/2014
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