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Individual

NICOLE HADJILOUCAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
727 N BEERS ST # 2E, HOLMDEL, NJ 07733-1514
(732) 497-1743
Mailing address
727 N BEERS ST # 2E, HOLMDEL, NJ 07733-1514
(732) 497-1743

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
85636-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100327871
WI
Enumeration date
03/19/2019
Last updated
08/03/2026
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