Individual
MISS NICOLE J ESTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-4081
(412) 359-3663
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-4081
(412) 359-3663
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23109
SC
208000000X
Pediatrics Physician
Primary
MD440034
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026513540001
—
PA
05
—
T72800
—
SC
Enumeration date
09/16/2005
Last updated
10/06/2020
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