Joshua Niclas M.D.

NPI 1013063999 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1013063999
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2060 FAIRMONT DR
SAN LEANDRO CA, 94578-1001, US
Phone (510) 346-1365
Fax (510) 346-7515
Business Location
2060 FAIRMONT DR
SAN LEANDRO CA, 94578-1001, US
Phone (510) 346-1365
Fax (510) 346-7515
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number A066972
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According to our database, Dr. Joshua Niclas M.D. NPI is 1013063999, taxonomy code is 2084P0800X and license number is A066972, license state is located at California. Joshua Niclas M.D. physically located at 2060 Fairmont Dr, San Leandro CA, 94578-1001. NPI Number Joshua Niclas M.D. has the Individual type.

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1013063999 NPI number is provided on an as is basis without warranty of any kind. 1013063999 is maintained by the National Plan & Provider Enumeration System. The contents of Joshua Niclas M.D. are for informational purposes only.