Individual
DR. NICCOLE ANN BART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BROOKLYN, NY 11203-2012
(718) 270-1000
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.140320
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2012
Last updated
11/08/2016
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