Individual
DR. NICHOLAS J PERSICH
Active
Individual
DR. NICHOLAS J PERSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
019601
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1930989
—
LA
01
—
4334849824E
BLUE CROSS
LA
01
—
4413302
AETNA
—
01
—
5372667009
CIGNA
—
Enumeration date
08/21/2006
Last updated
02/28/2013
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