Doctor Name: | PHILIP DUNBAR NICOL |
NPI Number: | 1700887197 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD049708L |
Business Practice Address: | 935 Thorn Run Rd Moon Twp, PA - 151082861 |
Business Phone Number: | 7247734502 |
Business Fax Number: | 4122642425 |
Mailing Address: | 935 Thorn Run Rd, MOON TWP |
State: | PA |
Postal Code: | 151082861 |
Phone Number: | 7247734502 |
Fax Number: | 4122642425 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 09/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | MD049708L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |