Individual
EARL NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CASTLETON PLACE, UPPER MARLBORO, MD 20774-1445
(410) 750-4283
Mailing address
PO BOX 4207, CROFTON, MD 21114-4207
(410) 750-4283
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0031603
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34G9310 01
—
MD
Enumeration date
08/31/2006
Last updated
07/08/2007
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