Individual
THOMAS NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 RTE 33, NEPTUNE, NJ 07753
(732) 776-4945
(732) 776-4550
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07324900
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA07324900
NJ
Other
Enumeration date
07/17/2006
Last updated
07/16/2024
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