Paul Nicholasen, MD
Individual provider Active NPI Internal Medicine Physician · Newark, DE
NPI 1992783757 · NPPES record last updated Jun 27, 2011
Key facts
- NPI
- 1992783757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- C10002607 (DE)
- Practice address
- 200 Hygeia Dr
Newark, DE 19713-2049 - Phone
- (302) 623-0100
- Fax
- (302) 623-0227
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10002607 | DE | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C10002607 | DE | Yes |
Addresses
Primary practice location
200 Hygeia Dr
Newark, DE 19713-2049
Mailing address
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-0100
Other providers in Newark, DE
- Vinh Bich Nguyen
- Eric Ni
- Keesha Niblack
- Maryruth L. Nich
- Nicholas O Biasotto DO PA
- Erin Nichols
- Marcia Nichols
- Zoey Nichols
- Stephen Andrew Niemoeller
- Timothy James Niesen
All providers in Newark, DE · Internal Medicine Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.