NICHOLAS ALEXANDER VANDAL

PHILADELPHIA, PA
NPI1265285928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT231509)
Enumeration Date2024-04-10
Last Update Date2025-09-03
Business Address
Dr. NICHOLAS ALEXANDER VANDAL MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 800-789-7366
Mailing Address
Dr. NICHOLAS ALEXANDER VANDAL MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: