IndividualActive
Edward Nicholas, M.D.
NPI 1629299003 · Diagnostic Radiology Physician · Bangor, ME
Provider details
- NPI number
- 1629299003
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD19238 (ME)
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2015-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.