Individual
MR. NICHOLAS ALAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-7552
(508) 334-7284
Mailing address
55 LAKE AVE N # HA-318, CRITICAL CARE, WORCESTER, MA 01655-0002
(774) 443-7552
(774) 443-7510
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3988
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110113123A
—
MA
Enumeration date
01/07/2009
Last updated
11/02/2020
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