Individual
THOMAS J NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 INNOVATION DR STE 3136, YORK, PA 17408-8815
(717) 741-3449
(717) 741-5496
Mailing address
1703 INNOVATION DR STE 3136, YORK, PA 17408-8815
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD069287L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947440
—
PA
Enumeration date
11/25/2005
Last updated
04/15/2021
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