NICKY HACKENBRACK

PHILADELPHIA, PA
NPI1568391670
Former NameNICOLE MARIE HACKENBRACK
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MT236556)
Enumeration Date2026-05-15
Last Update Date2026-05-15
Business Address
NICKY HACKENBRACK
3401 N BROAD ST
PHILADELPHIA, PA 19140-5103
Phone number: 800-836-7536
Mailing Address
NICKY HACKENBRACK
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: