Individual provider · Type 1 NPI

Nicola Anne Fedorowicz, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1659926368 Active

Practice location

3400 Spruce St, 6 Dulles
Philadelphia, PA 19104-4238

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XMA060885 (PA)

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About NPI 1659926368

Nicola Anne Fedorowicz, PA-C's National Provider Identifier is 1659926368, issued on Aug 8, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 4, 2019.