Individual
KAREN J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 N 39TH ST, MAB, SUITE 212, PHILADELPHIA, PA 19104-2640
(215) 662-8978
(215) 662-5940
Mailing address
51 N 39TH ST, MAB, SUITE 212, PHILADELPHIA, PA 19104-2640
(215) 662-8978
(215) 662-5940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042926L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001431596
—
PA
Enumeration date
07/17/2006
Last updated
03/15/2011
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