Individual
MR. NICHOLAS PHILIP MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 W SQUANTUM ST, QUINCY, MA 02171-2122
(617) 376-3000
Mailing address
110 W SQUANTUM ST, QUINCY, MA 02171-2122
(617) 376-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
08/22/2022
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