Individual
DR. PHILIP GEOFFREY NICHOLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, 3RD FLOOR, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-4005
(717) 812-2495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD418596
PA
208M00000X
Hospitalist Physician
Primary
MD418596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001879036
—
PA
01
—
03124401
CAPITAL BLUE CROSS-WMG
PA
01
—
126511
UNISON-WMG
PA
01
—
1382427
HIGHMARK BLUE SHIELD
PA
01
—
1525786
GATEWAY
PA
01
—
15999
JOHNS HOPKINS
PA
01
—
20090446
AMERIHEALTH MERCY-WMG
PA
01
—
2073748000
AMERIHEALTH 65 PA
PA
01
—
2161248
MAMSI-WMG
PA
01
—
616204
CAREFIRST MD BCBS
MD
01
—
7873488
AETNA
PA
01
—
79007
GEISINGER
PA
Enumeration date
07/07/2006
Last updated
04/22/2022
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