Individual
NICHOLAS BERCOVICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8700 BEVERLY BLVD # SB-290, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6623
Mailing address
1 INNOVATION DR STE 3, WORCESTER, MA 01605-4306
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20A18147
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2014
Last updated
07/01/2020
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