Individual
DR. MARK JONATHAN NICOLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2649 SCHOENERSVILLE RD STE 202, BETHLEHEM, PA 18017-7316
(484) 884-1007
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD461321
PA
Other
Enumeration date
07/09/2012
Last updated
03/01/2018
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