Provider Demographics
NPI:1922073212
Name:CARDINALE, NICHOLAS M (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:M
Last Name:CARDINALE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2841 RENDOVA RD
Mailing Address - Street 2:COMNAVSURFOR MEDICAL DEPT (CODE N01MA)
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92155-5490
Mailing Address - Country:US
Mailing Address - Phone:619-437-2860
Mailing Address - Fax:619-437-2700
Practice Address - Street 1:2841 RENDOVA RD
Practice Address - Street 2:COMNAVSURFOR MEDICAL DEPT (CODE N01MA)
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92155-5490
Practice Address - Country:US
Practice Address - Phone:619-437-2860
Practice Address - Fax:619-437-2700
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA039542207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine