Individual
MR. NICHOLAS MICHAEL MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-9900
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-9900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD481052
PA
Other
Enumeration date
04/12/2017
Last updated
08/26/2024
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