Individual
DR. ANCA MIOARA NICOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
GREYSTONE PARK PSYCHIATRY HOSPITAL, GREYSTONE PARK, NJ 07950
(973) 538-1800
Mailing address
PO BOX 419, WOB, WEST ORANGE, NJ 07052-0419
(973) 736-8067
(973) 736-8067
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA32057
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00739648
—
NY
Enumeration date
10/06/2006
Last updated
07/08/2007
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