Individual provider · Type 1 NPI

Marios Nicolaou, MD, PhD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1104231026 Active

Practice location

3400 Spruce St, Plastic Surgery, 10 Penn Tower
Philadelphia, PA 19104-4238

Call (267) 285-6399 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XMD451636 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104231026

Marios Nicolaou, MD, PhD's National Provider Identifier is 1104231026, issued on Jun 30, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 30, 2014.