Individual
MARY TSAKIRIS NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 PAOLI PIKE, WEST CHESTER, PA 19380-4642
(610) 918-2500
Mailing address
1101 PAOLI PIKE, WEST CHESTER, PA 19380-4642
(610) 918-2500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055885
PA
Other
Enumeration date
12/07/2012
Last updated
11/10/2016
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