Individual
NICHOLAS MONACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 N BASCOM AVE STE 202, SAN JOSE, CA 95128-1811
(415) 745-5665
(408) 516-9377
Mailing address
333 SANTANA ROW APT 237, SAN JOSE, CA 95128-2008
(415) 745-5665
(408) 516-9377
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A54966
CA
207RN0300X
Nephrology Physician
T2006-186
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164697001
—
AR
Enumeration date
01/19/2007
Last updated
07/21/2023
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