Lookup NPI Numbers from the NPI Registry
NPI Profile for NICHOLAS ANZIDEO in NORTH WALES, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI # | 1629441696 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 11/12/2015 | |
| Last updated | 04/14/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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NICHOLAS ANZIDEO, PA