DR. MARIOS NICOLAOU M.D., PH.D.
NPI 1104231026
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 30, 2014
3400 SPRUCE ST, PLASTIC SURGERY, 10 PENN TOWER, PHILADELPHIA, PA 19104(267) 285-6399 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marios Nicolaou M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIOS NICOLAOU M.D., PH.D. (NPI 1104231026) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD451636) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1104231026
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARIOS NICOLAOUCredential: M.D., PH.D.
Location Address3400 SPRUCE ST, PLASTIC SURGERY, 10 PENN TOWERPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce St, Plastic Surgery, 10 Penn TowerPhiladelphia, PA 19104-4238 · (267) 285-6399
Sole ProprietorYes
Enumeration DateJune 30, 2014
NPI 1104231026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MD451636
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 SPRUCE ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 2007 PENN TOWER
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, ROOM 538 MALONEY BUILDING
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104231026, enumerated as an "individual" on June 30, 2014.

The provider is located at 3400 SPRUCE ST PLASTIC SURGERY, 10 PENN TOWER PHILADELPHIA, PA 19104 and the phone number is (267) 285-6399.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.