Individual
STEVEN L NICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
470 N FRANKLIN TPKE STE 203, RAMSEY, NJ 07446-1385
(201) 327-0500
(201) 327-8612
Mailing address
470 N FRANKLIN TPKE STE 203, RAMSEY, NJ 07446-1385
(201) 327-0500
(201) 327-8612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB51932
NJ
Other
Enumeration date
08/09/2005
Last updated
07/30/2020
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