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NPI Code Detail

MEDICARE: NICOLE MAURER

MEDICARE: NICOLE MAURER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2208600000XSurgery Physician2023024541MO

General Provider Information

NPI Number : 1871241851
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MAURER
Provider Business Mailing Address
First Line : 1 HOSPITAL DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65212-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 W QUEEN LN
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1033
Country : US
Telephone Number : 215-991-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2022
Last Update Date : 06/30/2023

Similar Medicare Providers

1225994197 — ANN MARIE MASIELLO
Practice Location Address:
2900 W QUEEN LN
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19129-1033
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Practice Fax:
1124017082 — DIANE GOTTLIEB MD
Practice Location Address:
2900 W QUEEN LN , SUITE 221H
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1265014690 — MR. ATHAN GEORGE ZAVRAS BA
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1679157366 — AUBREY DIBELLO
Practice Location Address:
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Practice Fax:
1396310785 — ALEXANDRA R PORTUGUES MS
Practice Location Address:
2900 W QUEEN LN
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Practice Fax:
1881365336 — ERIK LI
Practice Location Address:
2900 W QUEEN LN
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19129-1033
Practice Phone: 301-818-2133
Practice Fax:

Directions to “ NICOLE MAURER ” Practice Location

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