JOSHUA NICKERSON

PHILADELPHIA, PA
NPI1386091130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  OS019814)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CO  DR.0068432)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-23
Last Update Date2024-07-17
Business Address
JOSHUA NICKERSON DO
4641 E ROOSEVELT BLVD
PHILADELPHIA, PA 19124-2343
Phone number: 800-889-0548
Mailing Address
JOSHUA NICKERSON DO
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6211