Individual
DR. BURTON L NUSSBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 S FORGE LN, CHERRY HILL, NJ 08002-2550
(856) 667-2123
(856) 482-7825
Mailing address
1 S FORGE LN, CHERRY HILL, NJ 08002-2588
(856) 667-2593
(856) 482-7825
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11829
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2455706
—
NJ
Enumeration date
03/24/2006
Last updated
07/08/2007
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