| Doctor Name: | MR. NICHOLAS ARCHER |
| NPI Number: | 1114171774 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | MA003481-L |
| Business Practice Address: | 175 E Chester Pike Taylor Hospital--operating Room Ridley Park, PA - 190782212 |
| Business Phone Number: | 6105956410 |
| Business Fax Number: | |
| Mailing Address: | 175 E Chester Pike, Taylor Hospital--operating Room RIDLEY PARK |
| State: | PA |
| Postal Code: | 190782212 |
| Phone Number: | 6105956410 |
| Fax Number: | |
| NPI Enumeration Date: | 11/10/2008 |
| NPI Last Update Date: | 11/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | MA003481-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |