Individual
PAUL NICHOLASEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 623-0100
(302) 623-0227
Mailing address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 623-0100
(302) 623-0227
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10002607
DE
Other
Enumeration date
01/03/2006
Last updated
06/27/2011
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