NICHOLAS ALEXANDER BASCOU

PHILADELPHIA, PA
NPI1073246559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT227383)
Enumeration Date2022-07-02
Last Update Date2022-07-02
Business Address
Dr. NICHOLAS ALEXANDER BASCOU MD
5501 OLD YORK RD
PHILADELPHIA, PA 19141-3018
Phone number: 856-381-8575
Mailing Address
Dr. NICHOLAS ALEXANDER BASCOU MD
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141-3098
Phone number:
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