Individual
BORIS NIKOLIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2554
(413) 582-4779
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060
(413) 582-2554
(413) 582-4779
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
233982
MA
2085N0700X
Neuroradiology Physician
233982
MA
2085N0904X
Nuclear Radiology Physician
233982
MA
2085R0202X
Diagnostic Radiology Physician
233982
MA
2085R0202X
Diagnostic Radiology Physician
Primary
52473
GA
2085R0204X
Vascular & Interventional Radiology Physician
233982
MA
2085R0204X
Vascular & Interventional Radiology Physician
MD429236
PA
2085U0001X
Diagnostic Ultrasound Physician
233982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072175A
—
MA
Enumeration date
08/14/2006
Last updated
08/23/2022
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