| Doctor Name: | DR. NEELY NICOLE NELSON |
| NPI Number: | 1023032695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 35 |
| Business Practice Address: | 1200 Old York Rd Abington, PA - 190013720 |
| Business Phone Number: | 2154814231 |
| Business Fax Number: | |
| Mailing Address: | 1500 Green St, Unit C PHILADELPHIA |
| State: | PA |
| Postal Code: | 191304038 |
| Phone Number: | 6147950710 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 06/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |