Individual
DR. FRED MICHAEL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-3300
(732) 324-3259
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 273-8835
(717) 202-0100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB05813300
NJ
207V00000X
Obstetrics & Gynecology Physician
C2-0023893
DE
207V00000X
Obstetrics & Gynecology Physician
FN7479430
PA
207V00000X
Obstetrics & Gynecology Physician
OS009392L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5185700
—
NJ
Enumeration date
02/08/2006
Last updated
11/10/2025
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