| Dr Peter Daniel Nicholas Iii, DO | |
| 
					2760 Century Blvd, Wyomissing, PA 19610-3359  | |
| (610) 375-4251 | |
| (610) 685-2870 | 
| Full Name | Dr Peter Daniel Nicholas Iii | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Rheumatology | 
| Location | 2760 Century Blvd, Wyomissing, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740714062 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | OS021964 (Pennsylvania) | Primary | 
| 207R00000X | Internal Medicine | OT017580 (Pennsylvania) | Secondary | 
| Entity Name | Arthritis And Osteoporosis Center, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194786491 PECOS PAC ID: 0345223293 Enrollment ID: O20040610001503  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Peter Daniel Nicholas Iii, DO 2760 Century Blvd, Wyomissing, PA 19610-3359 Ph: (610) 375-4251  | Dr Peter Daniel Nicholas Iii, DO 2760 Century Blvd, Wyomissing, PA 19610-3359 Ph: (610) 375-4251  | 
Nirav R. Shah, MD, MPH Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1011 Reed Ave, Suite 300, Wyomissing, PA 19610 Phone: 610-374-4401 Fax: 610-374-7140  | |
Dr. David F Steffy, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 950b N Wyomissing Blvd, 3rd Floor, Wyomissing, PA 19610 Phone: 610-898-1820 Fax: 610-372-0164  | |
Dr. Michael Bernard Russo, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-8500 Fax: 610-685-4833  | |
Dr. Pallak Agarwal, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-5864 Fax: 610-929-1528  | |
Louis La Luna, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1011 Reed Ave, Suite 300, Wyomissing, PA 19610 Phone: 610-374-4401 Fax: 610-374-7140  | |
Tara Lynn Dimino, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610 Phone: 610-685-8500 Fax: 610-685-4833  | |
Dr. John T Van Den Bosch, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 950b N Wyomissing Blvd, 3rd Floor, Wyomissing, PA 19610 Phone: 610-898-1820 Fax: 610-376-0164  |