Individual
MICHAEL JOHN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(201) 858-5000
Mailing address
527 OLD BRIDGE TPKE UNIT 3231, EAST BRUNSWICK, NJ 08816-1938
(732) 331-0101
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MB12540100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2019
Last updated
04/29/2025
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