Individual
NICHOLAS JOSEPH INCANDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 JIMMIE LEEDS RD, DEPT OF ANESTHIOLOGY, POMONA, NJ 08240
(609) 748-7597
(609) 748-7586
Mailing address
65 JIMMIE LEEDS RD, DEPT OF ANESTHESIOLOGY, POMONA, NJ 08240
(609) 748-7597
(609) 748-7586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
197184
NY
207L00000X
Anesthesiology Physician
Primary
25MA08125200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01690500
—
NY
Enumeration date
06/28/2006
Last updated
07/08/2007
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