Organization
OSCAR NICHOLSON JR MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR NICHOLSON JR. MD (PRESIDENT)
(216) 691-0028
Entity
Organization
Contact information
Practice address
5 SEVERANCE CIR, SUITE 215, CLEVELAND HEIGHTS, OH 44118-1566
(216) 691-0028
(216) 691-0030
Mailing address
5 SEVERANCE CIR, SUITE 215, CLEVELAND HEIGHTS, OH 44118-1566
(216) 691-0028
(216) 691-0030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25056957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28056860600
BWC
OH
Enumeration date
03/17/2008
Last updated
06/11/2008
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