| Doctor Name: | ANGELA M. NICHOLAS |
| NPI Number: | 1063480515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD056659L |
| Business Practice Address: | 700 S Henderson Rd Ste 306 King Of Prussia, PA - 194063530 |
| Business Phone Number: | 6102650726 |
| Business Fax Number: | 6102653132 |
| Mailing Address: | 700 S Henderson Rd, Ste 306 KING OF PRUSSIA |
| State: | PA |
| Postal Code: | 194063530 |
| Phone Number: | 6102650726 |
| Fax Number: | 6102653132 |
| NPI Enumeration Date: | 03/10/2006 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | MD056659L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |