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Contact Information

NICHOLAS ANZIDEO, PA
1010 HORSHAM RD STE 201
NORTH WALES, PA19454-1500
 Phone: 215-362-2385
 Fax: 215-361-1584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICHOLAS ANZIDEO · (Male)

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
  • NJ License # 25MP00518300
  • PA License # MA058011
  • PA License # OA003706
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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