Provider Demographics
NPI:1740526219
Name:LOSSKY, NICOLAS JEAN
Entity type:Individual
Prefix:
First Name:NICOLAS
Middle Name:JEAN
Last Name:LOSSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ASHBURTON PL
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-2610
Mailing Address - Country:US
Mailing Address - Phone:617-576-7162
Mailing Address - Fax:
Practice Address - Street 1:2 ASHBURTON PL
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-2610
Practice Address - Country:US
Practice Address - Phone:617-576-7162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228824171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist