Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW PHILLIP NICHOLAS, M.D.
ActiveMATTHEW PHILLIP NICHOLAS, M.D. is a Sports Medicine (Emergency) healthcare provider located in WEST HARTFORD, Connecticut. NPI 1568825222 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · WEST HARTFORD, CT
Registration Details
- NPI Number
- 1568825222
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2016 (10.411098750652 yrs)
- Last Updated
- Jul 19, 2021
- Licenses
-
35.138743 (OH)1.068238 (CT)
Practice Information
- Address
-
1043 FARMINGTON AVEWEST HARTFORD, CT, 061072110Browse CT providers · Browse ZIP 06107
- Phone
- 8605492020
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
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.