Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Alexander Bascou, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073246559

Dr. Nicholas Alexander Bascou, MD is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (856) 381-8575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence MT227383 (PA)

Record details

NPI number1073246559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2022
Last updated in NPPESJuly 2, 2022
Certification dateJuly 2, 2022

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