Individual
JOHN NICASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 ATWOOD DR, NORTHAMPTON, MA 01060-4267
(413) 582-4728
(413) 923-9318
Mailing address
22 ATWOOD DR, NORTHAMPTON, MA 01060-4267
(413) 582-4728
(413) 923-9318
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
234897
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150697
—
MA
Enumeration date
07/18/2007
Last updated
03/15/2018
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