Individual
MR. NICHOLAS OLIVER BIASOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 STANTON-CHRISTIANA RD,, STE 205, NEWARK, DE 19713
(302) 998-1284
(302) 998-1267
Mailing address
620 STANTON-CHRISTIANA RD,, STE 205, NEWARK, DE 19713
(302) 998-1284
(302) 998-1267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0002000
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000196003
—
DE
Enumeration date
06/26/2006
Last updated
11/16/2009
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