Individual
MR. BRIAN H NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
5 STANLEY RD, SOUTH ORANGE, NJ 07079-2700
(862) 250-5228
Mailing address
125 ELLIOT PL, EAST ORANGE, NJ 07018-1127
(973) 865-0733
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00066300
NJ
Other
Enumeration date
09/28/2009
Last updated
01/03/2019
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