Individual
DR. THEODORE PAUL NICOLAIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 PARNASSUS AVE, M649, BOX 0106, SAN FRANCISCO, CA 94143-2204
(415) 476-3831
Mailing address
1738 HAIGHT ST APT 204, SAN FRANCISCO, CA 94117-2866
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A87645
CA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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