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NPI Profile for FREDERIC G NICOLA in MARINA DEL REY, CA.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Foot and Ankle Surgery |
207XX0004X | 02 | Physician/General Surgery | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery | |
Orthopaedic Trauma |
207XX0801X | 02 | Physician/General Surgery | |
Sports Medicine |
207XX0005X | 02 | Physician/General Surgery |
| NPI # | 1184736480 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 08/31/2006 | |
| Last updated | 04/14/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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FREDERIC G NICOLA
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FREDERIC G NICOLA, MD