Individual
NICHOLAS C MAGLARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
236 E WESTFIELD AVE, ROSELLE PARK, NJ 07204
(908) 245-8222
(908) 245-6504
Mailing address
236 E WESTFIELD AVE, ROSELLE PARK, NJ 07204-2084
(908) 245-8222
(908) 245-6504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05793700
NJ
207RP1001X
Pulmonary Disease Physician
MA57937
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6125107
—
NJ
Enumeration date
09/16/2006
Last updated
04/12/2022
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