Individual
THOMAS NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 ROUTE 22 STE 170, BRIDGEWATER, NJ 08807-2939
(908) 647-7022
(908) 947-7011
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA11720900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400988
—
OH
Enumeration date
04/01/2014
Last updated
10/04/2023
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