Individual
DR. NICK SCOTT ADZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2730
(215) 590-4875
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD055694L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001496572
—
PA
Enumeration date
10/11/2006
Last updated
09/24/2021
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