Individual
NICOL E. JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4190 CITY AVE, SUITE 315, PHILADELPHIA, PA 19131-1626
(215) 871-6844
(215) 871-6932
Mailing address
4190 CITY AVE, SUITE 315, PHILADELPHIA, PA 19131-1626
(215) 871-6844
(215) 871-6932
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OS013738
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101695926
—
PA
Enumeration date
07/07/2006
Last updated
02/25/2016
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