Individual
DR. NICOLAUS MEPHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-2276
(215) 214-4119
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 926-9022
(215) 226-8286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66948
CT
207R00000X
Internal Medicine Physician
TMD005234
PA
208M00000X
Hospitalist Physician
Primary
MD472732
PA
Other
Enumeration date
04/19/2017
Last updated
03/02/2024
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