Organization
ENRICO NICOLO, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRICO NICOLO M,D. (PRESIDENT)
(724) 483-3639
Entity
Organization
Contact information
Practice address
100 STOOPS DR STE 230, MONONGAHELA, PA 15063-3556
(724) 483-3639
(724) 483-3758
Mailing address
100 STOOPS DR STE 230, MONONGAHELA, PA 15063-3556
(724) 483-3639
(724) 483-3758
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
MD03722L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009697470002
—
PA
Enumeration date
12/03/2007
Last updated
05/05/2008
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