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Individual
DR. ERIC ROBERT NISENSON
Active
Individual
DR. ERIC ROBERT NISENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0560000179
VT
213E00000X
Podiatrist
Primary
25MD00148000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1742400
—
NJ
05
—
OVN3362
—
VT
Enumeration date
01/29/2007
Last updated
06/22/2011
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