Organization
PAUL G. NICHOLAS III, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL NICHOLAS III D.O. (PHYSICIAN)
(856) 769-0900
Entity
Organization
Contact information
Practice address
24 EAST AVE, WOODSTOWN, NJ 08098-1409
(856) 769-0900
(856) 769-2639
Mailing address
PO BOX 304, 24 EAST AVE, WOODSTOWN, NJ 08098-0304
(856) 769-0900
(856) 769-2639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB040789
NJ
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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