Individual
DR. ALEXANDER DEMETRE NICOLOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
18926
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226934
—
OR
Enumeration date
02/28/2006
Last updated
07/16/2007
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