Individual
NICHOLAS MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
995 HOSPITALITY WAY, ABERDEEN, MD 21001-1755
(410) 306-7880
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-0117
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
H88384
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2016
Last updated
10/12/2022
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