Individual
DR. PETER DANIEL NICHOLAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2760 CENTURY BLVD, WYOMISSING, PA 19610-3359
(610) 375-4251
(610) 685-2870
Mailing address
2760 CENTURY BLVD, WYOMISSING, PA 19610-3359
(610) 375-4251
(610) 685-2870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT017580
PA
207RR0500X
Rheumatology Physician
Primary
OS021964
PA
Other
Enumeration date
04/13/2017
Last updated
07/22/2022
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