Individual
PHYLLIS E NICHOLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 PRINCE PHILIP DRIVE, MONTGOMERY GENERAL HOSPITAL, OLNEY, MD 20832
(301) 774-8900
(301) 570-8574
Mailing address
1300 PICCARD DRIVE, STE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0028429
MD
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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