Individual
NATHANIEL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
256 MASON AVE # C, STATEN ISLAND, NY 10305-3408
(718) 226-6398
(718) 226-1247
Mailing address
PO BOX 23831, NEWARK, NJ 07189-0001
(973) 971-5595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
208C00000X
NJ
Other
Enumeration date
02/02/2006
Last updated
03/17/2018
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