Individual
NICOLA SCHIEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-3046
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-3046
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MT198783
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT198783
PA
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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