Provider Demographics
NPI:1366625949
Name:NAGY, NICOLE SARA (DO)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:SARA
Last Name:NAGY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E HIGH STREET
Mailing Address - Street 2:POTTSTOWN MEMORIAL MED CTR
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5008
Mailing Address - Country:US
Mailing Address - Phone:610-327-7746
Mailing Address - Fax:
Practice Address - Street 1:266 LANCASTER AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3256
Practice Address - Country:US
Practice Address - Phone:610-578-0155
Practice Address - Fax:610-578-0156
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013424207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine