Individual
DR. BENJAMIN JOSEPH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 S ELISEO DR, SUITE 207, GREENBRAE, CA 94904-2023
(415) 925-0550
(415) 925-9062
Mailing address
1300 S ELISEO DR, SUITE 207, GREENBRAE, CA 94904-2023
(415) 925-0550
(415) 925-9062
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A97389
CA
Other
Enumeration date
07/05/2007
Last updated
10/11/2017
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