Individual
DR. NICHOLAS HENRY FIEBACH
Active
Individual
DR. NICHOLAS HENRY FIEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
154404
NY
207R00000X
Internal Medicine Physician
Primary
28139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02490095
—
NY
Enumeration date
10/05/2006
Last updated
01/17/2019
Update your record
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