Individual
DR. ANGELA SIMONE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8218
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8218
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
251786
MA
390200000X
Student in an Organized Health Care Education/Training Program
240295
MA
Other
Enumeration date
06/19/2009
Last updated
05/19/2014
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