Individual
NICHOLAS GERARD PELLICORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
530 FRANKLIN AVENUE, NUTLEY, NJ 07110-1720
(973) 667-1066
(732) 752-8054
Mailing address
530 FRANKLIN AVE, NUTLEY, NJ 07110-1720
(973) 667-1066
(732) 752-8054
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00177800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166470101
—
NJ
Enumeration date
12/28/2006
Last updated
05/17/2017
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