Individual
DR. NICHOLAS FIDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVENUE, BOX 0628, UCSF DEPARTMENT OF RADIOLOGY, SAN FRANCISCO, CA 94143
(415) 353-1000
(415) 476-0616
Mailing address
505 PARNASSUS AVENUE, BOX 0628, UCSF DEPARTMENT OF RADIOLOGY, SAN FRANCISCO, CA 94143
(415) 353-1000
(415) 476-0616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A84789
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A84789
CA
Other
Enumeration date
03/23/2007
Last updated
09/14/2012
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