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Individual

NICHOLAS JOSEPH INCANDELA

Active
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Individual

NICHOLAS JOSEPH INCANDELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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