NPI 1457353336

Evan A. Nicholas, DO

Practitioner Neuromusculoskeletal Medicine & OMM Physician Philadelphia, PA

Practice location

Address: 4190 City Line Ave, Philadelphia, PA 19131-1626
Phone: (215) 871-6425
Fax: (215) 871-6490

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence OS004962L (PA)

Other Neuromusculoskeletal Medicine & OMM providers in Pennsylvania →

Registry record

NPI: 1457353336
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2005
Record last updated: 1 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.