Individual
DR. ANDREW O NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 BEDFORD ST, STE 130, LEXINGTON, MA 02420-4500
(781) 862-7500
(781) 861-1409
Mailing address
57 BEDFORD ST, STE 130, LEXINGTON, MA 02420-4500
(781) 862-7500
(781) 861-1409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72779
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074439
—
MA
Enumeration date
07/01/2005
Last updated
03/23/2009
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