Individual
DR. PAUL GEORGE NICHOLAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24 EAST AVE, WOODSTOWN, NJ 08098-1409
(856) 769-0900
(856) 769-2639
Mailing address
P.O. BOX 304, 24 EAST AVE, WOODSTOWN, NJ 08098
(856) 769-0900
(856) 769-2639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB40789
NJ
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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