Individual
DANIEL JACOB NICHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6298
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6298
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
MCS004235B
MA
Other
Enumeration date
12/02/2020
Last updated
08/11/2022
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