ENRICO NICOLO, M.D. PC


Address: 100 Stoops Dr Ste 230, Monongahela, PA 15063-3556
Phone: 7244833639

ENRICO NICOLO, M.D. PC (NPI# 1659553576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659553576
Entity Type Organization
Organization Name ENRICO NICOLO, M.D. PC
Practice Address 100 Stoops Dr Ste 230
Monongahela
PA 15063-3556
Practice Telephone 7244833639
Practice Fax Number 7244833758
Mailing Telephone 7244833639
Mailing Fax Number 7244833758
Enumeration Date 2007-12-03
Last Update Date 2008-05-05
Authorized Official Name ENRICO NICOLO (PRESIDENT)
Authorized Official Telephone 7244833639
Authorized Official Credential M,D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics MD03722L PA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 0009697470002 05

Office Location

Street Address 100 STOOPS DR STE 230
City MONONGAHELA
State PA
Zip Code 15063-3556

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1861708414 Pieter H Heemstra Dentist 100 Alexander Avenue, Monongahela, PA 15063 2010-08-20
1043530959 Thumrong Boonvisudhi Pediatrics 23 Carroll Way, Monongahela, PA 15063 2010-06-03
1174629901 Mon City Chiropractic Clinic, PC Chiropractor 1230 West Main Street, Monongahela, PA 15063 2006-09-16
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1790899714 Mon-valley Ekg Associates Nuclear Medicine Country Club Rd, Monongahela Valley Hospital, Monongahela, PA 15063 2006-08-18
1730198409 Stacy Ann Chandler Dental Hygienist 173 West Main St, Monongahela, PA 15063 2006-08-05
1962411637 Randall Gabriel Rodriguez Dentist 173 W Main Street, Monongahela, PA 15063 2006-08-05
1265426266 Ronald A Lutes Internal Medicine 100 Stoops Dr Ste 200, Monongahela, PA 15063 2005-09-06
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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790992717 Larry E Maglicco Medical Genetics, Ph.D. Medical Genetics Upmc Mckeesport Hospital, 1500 Fith Ave, Mckeesport, PA 15133 2007-05-17
1528189610 Nancy Naylor Mccullum Medical Genetics, Ph.D. Medical Genetics 205 St. Charles Way, The Center for Cosmetic Dermatology, York, PA 17402 2007-04-03
1841331915 Connie J Kennedy Medical Genetics, Ph.D. Medical Genetics 263 Summer Avenue, Horsham, PA 19044-2607 2007-02-09
1619173192 Anuja Rohatgi M.d.p.c. Medical Genetics, Ph.D. Medical Genetics 117 N 4th St, Easton, PA 18042-3503 2007-06-22
1720162654 Michael John Paszek Medical Genetics, Ph.D. Medical Genetics 503 N 21st St, Camp Hill, PA 17011-2204 2006-10-25
1609804897 Miguel Amora De Castro Medical Genetics, Ph.D. Medical Genetics 1018 W Lehigh Ave, Philadelphia, PA 19133-1640 2006-06-28

Competitor

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City MONONGAHELA
Zip Code 15063

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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