Individual
NICHOLAS NASSIKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2930
(401) 793-2953
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-2954
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
289959
MA
Other
Enumeration date
05/13/2015
Last updated
09/13/2021
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