Donna Nickles

NPI 1063400547 - Specialist - 174400000X

NPI Details
NPI 1063400547
Gender Female
Enumeration Date 10/10/2005
Last Updated 09/13/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
80 EISENHOWER DR
PARAMUS NJ, 07652-1401, US
Phone (201) 843-2800
Fax (201) 843-5848
Business Location
80 EISENHOWER DR
PARAMUS NJ, 07652-1401, US
Phone (201) 843-2800
Fax (201) 843-5848
Toxanomy
Taxonomy Code 174400000X
License State New Jersey
License Number 25MB03792500
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According to our database, Donna Nickles NPI is 1063400547, taxonomy code is 174400000X and license number is 25MB03792500, license state is located at New Jersey. Donna Nickles physically located at 80 Eisenhower Dr, Paramus NJ, 07652-1401. NPI Number Donna Nickles has the Individual type.

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1063400547 NPI number is provided on an as is basis without warranty of any kind. 1063400547 is maintained by the National Plan & Provider Enumeration System. The contents of Donna Nickles are for informational purposes only.