Individual
NICHOLAS S. ALBICOCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 US HIGHWAY 46, SUITE 203, MINE HILL, NJ 07803-3163
(973) 366-7330
(973) 989-0508
Mailing address
195 US HIGHWAY 46, SUITE 203, MINE HILL, NJ 07803-3163
(973) 366-7330
(973) 989-0508
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04396400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222813644
TAX IDENTIFICATION NUMBER
NJ
Enumeration date
07/27/2006
Last updated
09/27/2010
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