Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN NIDOCK, LMT
Active Sole ProprietorMR. JONATHAN NIDOCK, LMT is a Specialist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1558636043 is currently active in the NPPES registry. Verify at CMS.
Specialist · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1558636043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2012 (14.406281374961 yrs)
- Last Updated
- Mar 15, 2012
- License
-
MSG001159 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 E MORELAND AVEPHILADELPHIA, PA, 191183512Browse PA providers · Browse ZIP 19118
- Phone
- 2672544712
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. SHEFALI AGRAWAL | MD | 1942205133 |
| LISA KELLY | PT,CERT.MDT,COMT | 1134120116 |
| THERESA M. BRUN | MPT | 1619978244 |
| DR. REENA S BANKA | M D | 1457347940 |
| DR. JOSEPH FRANK MUSSOLINE | M.D. | 1821084583 |
| DR. MICHAEL J METRO | M.D. | 1154308872 |
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.