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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AJ DUANE NICHOLAS

Active

AJ DUANE NICHOLAS is a Optician, Dispensing healthcare provider located in PATUXENT RIVER, Maryland. NPI 1518627314 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · PATUXENT RIVER, MD

Registration Details

NPI Number
1518627314
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2021 (4.6650642920781 yrs)
Last Updated
Dec 21, 2021

Practice Information

Address
47149 BUSE RD BLDG 1370
PATUXENT RIVER, MD, 206701540
Browse MD providers · Browse ZIP 20670
Phone
3013421499
Primary Specialty
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.