Healthcare Provider Details

I. General information

NPI: 1659671485
Provider Name (Legal Business Name): NICHOLAS D'ORAZIO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 05/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 HARTMAN BRIDGE RD
RONKS PA
17572-9700
US

IV. Provider business mailing address

PO BOX 1230
KENNETT SQUARE PA
19348-0443
US

V. Phone/Fax

Practice location:
  • Phone: 717-687-7541
  • Fax:
Mailing address:
  • Phone: 717-687-7541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELLE L GRIFFITH
Title or Position: OFFICE MANAGER
Credential:
Phone: 717-687-7541