Nicholson Medical Associates,p.c. | |
103 E 5th Ave Conshohocken PA 19428-1712 | |
(610) 828-6990 | |
(610) 828-7364 |
Full Name | Nicholson Medical Associates,p.c. |
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Speciality | Family Medicine |
Location | 103 E 5th Ave, Conshohocken, Pennsylvania |
Authorized Official Name and Position | James Joseph Nicholson (MEDICAL DIRECTOR) |
Authorized Official Contact | 6108286990 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nicholson Medical Associates,p.c. 103 E 5th Ave Conshohocken PA 19428-1712 Ph: (610) 828-6990 | Nicholson Medical Associates,p.c. 103 E 5th Ave Conshohocken PA 19428-1712 Ph: (610) 828-6990 |
NPI Number | 1215974589 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8426037581 |
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Medicare Enrollment ID | O20040714000637 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215974589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James J Nicholson |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1952342420 PECOS PAC ID: 0345437794 Enrollment ID: I20120201000356 |
Provider Name | James M Clarke |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992746457 PECOS PAC ID: 1658530746 Enrollment ID: I20120308000722 |
Provider Name | Jeffrey A Heebner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699712968 PECOS PAC ID: 1254590136 Enrollment ID: I20120313000338 |
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